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Application for Employment

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. All qualified applicants will receive consideration without discrimination based on sex, race, color, age, creed, national origin, military reserve membership, or religion. All offers are conditioned upon furnishing satisfactory evidence of identity and legal authority to work in the United States. I also understand that the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

At which FATZ location(s) would you like to work?

(ctrl + click to select more than 1 location)

Personal Information

Current Mailing Address

Telephone number where you may be reached

Email Address

A conviction record of any nature will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at the time of the offense, remoteness of the offense, seriousness and nature of the violation, time since last convictions, nature of the job sought, rehabilitation effort and other factors will be considered.

(Please provide offense(s) date(s) and city/county/state)


School Attended Did you graduate? Diploma/Degree Dates Attended (Month/Year)
From:             To:

Employment Desired and Availability

Type of Work Desired Shift (Options) Wage Rate Required

Are you willing and able to work

Indicate Shift or schedule preferred

Employment Record

Current or Last Employer (1)

Current or Last Employer (2)

Current or Last Employer (3)

(If Yes, please explain)

Professional References

Name Phone/Address Position Yrs Known

I certify that the information in this application (and accompanying resume, if applicable) is true. I also agree and understand that misrepresentations or omitted facts may disqualify me from further consideration for employment and may be considered justification for my termination if discovered at a later date. I hereby authorize Cafe Enterprises, Inc., its agent, and/or any entity or person providing information, to examine and obtain copies of records and information regarding my background. I also understand that an investigative consumer report may be requested that will include information as to my character, work habits, performance, and experience, along with reasons for termination of past employment. I understand that as directed by company policy and consistent with the job described, Cafe Enterprises, Inc. may be requesting information from public and private sources about my: driving record, court record, education, credentials, credit and references. For this purpose, I acknowledge that a Fax or photographic copy shall be as valid as the original.

According to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of information obtained by my prospective employer from a consumer-reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.

I hereby authorize, without reservation, any law enforcement agency, institution, information service bureau, school, employer, reference or insurance company contacted by Cafe Enterprises, Inc. or its agent, to furnish the information listed above. It is confidential and will not be used for any other purposes. I hereby release the employer and agents and all persons, agencies, and entities providing information or reports about me from any/all liability arising out of the requests for or release of any of the above mentioned information or reports.

This authorization is given in connection with my possible employment at FATZ®, and shall remain in effect, if employed, during my employment at FATZ®. I release Cafe Enterprises, Inc., FATZ® and/or its designated representative from any liability and responsibility pertaining to this request for background information.

I understand that, if hired, my employment is for no definite period and may be terminated at any time, with or without cause, at the discretion of either the company or myself. I understand that operating conditions may require me to temporarily work shifts other than the one for which I am applying and I agree to such scheduling changes as directed by my supervisor or the management.