Employment Application


It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color,
religion, disability, or any other protected classification. If you need assistance with any form, please ask to speak with a manager, and
we will accommodate any reasonable request.

Do not provide any false or misleading information in the Employment Application. All information provided is subject to verification.
Changes to information the Employment Application after submittal ( i.e. current employment status changes) must be relayed to ARG

This application for employment is good for 60 days from the completed date.
Consideration for employment after 60 days will require a new application to be completed.

Personal Information
Name *
Date of Application *
Date of Application
Date of Birth
Date of Birth
Are you at least 18 years of age? *
Are you at least 21 years of age? *
Are you eligible to work in the United States? *
If hired, can you provide proof of authorization to do so? *
Address *
Cell Phone *
Cell Phone
If you only have a single phone number, enter it here and omit "Home Phone"
Home Phone
Home Phone
(Evening Phone)
Referral Source *
Check all that apply
Fill if applicable
Employment Type
Check all that apply
Can you work overtime?
Enter the hourly or annual salary amount you would desire, leave blank if unsure
Have you ever had employment terminated or been asked to resign? *
If yes, please provide complete details.
List each city and state on a new line in the following format: City, State. Starting from past to preset.
If hired, will you comply with a pre-employment illegal drug screening? *
Please list any skills, certifications, training or any job-related education, each on a new line
Employment History
We may contact the employers listed in this section unless indicated otherwise. After an offer of employment has been extended and accepted, we reserve the right to contact these employers to verify the information provided.
Employment History - 1
Company Phone (EH-1)
Company Phone (EH-1)
Month/Year to Month/Year
Can We Contact? (EH-1)
Employment History - 2
Company Phone (EH-2)
Company Phone (EH-2)
Month/Year to Month/Year
Can We Contact? (EH-2)
Employment History - 3
Company Phone (EH-3)
Company Phone (EH-3)
Month/Year to Month/Year
Can We Contact? (EH-3)
Other Information
List each secondary language on a new line.
Do you have a valid driver's license?
If you don't know are unsure, than report with "Class D" which is a common non-commercial license.
Please list each restriction on a new line, if any at all.
Have you ever been convicted for violating any law? (excluding minor traffic violations)

Read before submitting

By submitting the form you authorize and agree to the below legalities and formalities. 


I certify and understand that tips will be treated as satisfying part of the minimum wage obligation unless prohibited by law. To maximize guest service, our policy is to share tips among employees that regular service our customers, such as bussers, food runners and bartenders. The sharing of tips is approved by ARG. The amount of tip share is a percentage of gross sales or gross tips, and will vary by concept and location. You will be made aware of the policy and percentage for your location by your management team. Management reserves the right to amend this policy or percentage at its discretion at any time.


I certify with my signature that I have provided to Adams Restaurant Group, true, accurate, and complete information, and have concealed no requested information. Furthermore, I assert that I am qualified to perform all duties of the desired position. I authorize ARG-Claudia’s and/or its agents, including consumer reporting bureaus, to investigate my background and all statements contained in this application, as may be necessary in determining at decision regarding employment with ARG. I understand that this application is not a contract of employment. I understand that if hired, that the position is terminable at will, and is not governed by a contract. I also understand that a drug test may be administered prior to or during my employment at any time. In the event that I am employed, I agree to abide by all policies and standards of Adams Restaurant Group.

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