Half Moon Restaurant & Brewery

APPLICATION FOR EMPLOYMENT
In compliance with federal and state equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, medical condition, or disability. Qualified applicants are considered for employment according to the laws of the respective state of employment. This application will remain active for 30 days from the date of application, and at the end of that period, the applicant must reapply to express continuing interest in employment.

* Required Field

Personal Information

Date (mm/dd/yyyy)

Last Name

First Name

Middle Name

Street Address

City

State

Zip

If at current address less than two years, please provide your previous address

Previous Street Address

Previous City

Previous State

Previous Zip

Telephone Number

Email Address

Are you 16 years or older?
(applicants under age 16 are not eligible for hire)

Yes No

For Server positions only, are you 19 years or older?

Yes No Not Applicable

Have you ever been convicted of a felony?

Yes No

If yes, please explain
(a conviction record does not necessarily disqualify you from employment;
factors such as the date of the offense, seriousness and nature of the violation,
and rehabilitation will be taken into account)

Are you legally authorized to work in the U.S.?

Yes No

Are you licensed to drive a car?

Yes No

Driver's License Number

Driver's License State

Driver's License Expiration Date

Employment Desired

Date you can start (mm/dd/yyyy)

Expected starting hourly rate

Are you willing to work a split shift?

Yes No

Are you willing to stay late in an emergency?

Yes No

Are you willing to work holidays / weekends?

Yes No

How many hours per week do you expect to work?

Applying For
(Check all that you are interested in)
A description of each position can be found on the Job Opportunities page.

Food Server
Line Cook / Food Prep
Bartender
Food Runner

Host / Hostess
Meat Cutter
Busser / Server Assistant
Dish Machine Operator / Utility

* Please check the shifts you are available to work (hours may vary)

Work History

* Please list three most recent jobs (start with the most recent or current job)

Company		Position
Dates Employed		Supervisor
City / State		Phone
Last Rate of Pay		Reason for Leaving
Eligible for Re-Hire?	Yes No	May we contact?	Yes No

Company		Position
Dates Employed		Supervisor
City / State		Phone
Last Rate of Pay		Reason for Leaving
Eligible for Re-Hire?	Yes No	May we contact?	Yes No

Company		Position
Dates Employed		Supervisor
City / State		Phone
Last Rate of Pay		Reason for Leaving
Eligible for Re-Hire?	Yes No	May we contact?	Yes No

Education

	Name and Location of School	No. of Years Attended	Did You Graduate?	Subjects Studied
Grammar School			Yes No
High School			Yes No
College			Yes No
Trade, Business or Correspondence School			Yes No

References

Please give the names of three persons not related to you, whom you have known for at least one year.

* Name	Address	* Phone	Relationship	Years Acquainted

"I understand and agree that Wildcat Country, LLC supports the Drug Free Workplace concept and as such may require me to submit to drug/alcohol screenings as a condition of employment or continued employment. These drug/alcohol screenings may be administered at anytime. I hereby consent to any such screenings and understand and agree that refusal to submit to any drug/alcohol screenings will disqualify an applicant or result in termination of employment. Subject to state law."

"I understand the Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age"

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal"

"I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard."

"I authorize you to investigate all statements contained herein and the references listed above to give you and and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you."

"I understand and agree that, if hired, my employment is at will unless otherwise defined by applicable law, and is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice."

"I understand that this application is not an employment contract."

NOTICE TO TIPPED EMPLOYEES: You are hereby notified that Section 3(m) of the Fair Labor Standards Act (The Federal Minimum Wage Law) provides as follows: In determining the wage of a tipped employee, the amount paid such employee shall be at least an amount equal to the cash wage of $2.13 an hour and an additional amount of the tips received by such amployee which amount is equal to the difference between $2.13 an hour and the current minimum wage in effect. The additional amount on account of tips may not exceed the value of the tips actually received by an employee. The preceding two sentences shall not apply with respect to any tipped employee unless such employee has been informed by the employer of the provisions of the section and all tips received by such employee have been retained by the employee, except that nothing herein shall prohibit the pooling of tips among employees who customarily and regularly recieve tips. Some states have eliminated the tip credit or require a lower percentage of the tip credit than the Federal Minimum Wage Law, in which case State Law will apply.

I have read and agree to the statements above.

Electronic Signature
(By typing your name in the box above, you are signing this application)