Employment Application

We have fun and work hard! We live an awesome life because we are not stuck in an office. Our life is filled with passion and enjoyment because we WOW guests by providing genuine hospitality. Our days are never boring and smiling is part of our uniform. We develop our leadership skills by teaching values and standards that help develop a culture of serving others. Join us and choose your adventure. APPLY NOW!

Sergio’s values diversity and considers qualified applicants for all positions without regard to race, color, religion, gender, national origin, age, disability or marital status, and/or any other federal, state, or local statute that addresses employments practices.

Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Home Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Social Security # (SSN) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Information

What position are you applying for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Select which Sergio's locations? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Employment Desired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Shift Availability (Check all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Salary Desired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please indicate specific days and times you are NOT available to work: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Employment Eligibility

How did you learn about Sergio's Family Restaurant?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If not a U.S. Citizen, are you lawfully permitted to be employed in the United States?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If you are under 18 years of age, can you provide required work permits?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Have you ever been employed with us before?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If Yes, give dates. From: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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To: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Name while employed (If different from present): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Do you presently have any relatives working for Sergio's Family Restaurant?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If Yes, please state name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Relationship: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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With or without accommodation, are you able to perform the essential job functions of the position for which you are applying?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Have you ever been convicted of any criminal offense, including, but not limited to robbery, embezzlement, forgery, use, possession or sale of drugs, tax evasion, DUI, or any criminal offense involving dishonesty or breach of trust?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Have you ever been charged with a crime and pleaded nolo contendre, had adjudication withheld, or pleaded nolo pross to include, but not limited to, any criminal offense listed above?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please state type of offense, and time, disposition and any rehabilitation in the lines provided below. (Conviction of a crime, or pleading nolo pross, nolo contendre, and/or adjudication withheld will not necessarily be a bar to employment.) The above factors may be taken into account in determining the effect on suitability for employment: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Skills & Experience

Please indicate the skills/equipment in which you have experience: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please check any languages in which you speak fluently: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Resume {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Work History

Work History {binding ItemNumber}

Provide your employment history starting with present and most recent.

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Position/Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Employed From: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

To: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Reason for Leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Supervisor Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Education

School {binding ItemNumber}

Name of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Type of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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References

Reference {binding ItemNumber}

Provide references who are not relatives or friends.

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Occupation: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Relationship: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Years Known: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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CERTIFICATION AND AGREEMENT

Please read the following statements carefully before signing. As part of Sergio’s Family Restaurant’s employment procedures, a routine background investigation may be made by an independent consumer-reporting agency. As part of this background investigation, I agree to the following, if requested:

To have my credit record checked for employment purposes
To have my driving record checked for employment purposes.
To have a criminal record history check.
To submit to a test for the presence of drugs, narcotics or alcohol.
To allow a verification of previous employment and personal references.

I understand that these procedures could take place prior to or at any time subsequent to my employment.

If the background, or any subsequent investigation discloses any misrepresentation or falsification on the application form or information indicating that I am not suited for employment with Sergio’s Family Restaurant, I will be refused employment, or, if already employed, terminated.

I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably.

I understand that according to federal law, all individuals who are hired must, as a condition of employment, produce certain documents to verify their identity and their legal authorization to work in the U.S. Therefore, I understand that any offer of employment is contingent on my ability to produce the required documentation within the time period required by law. I also understand that if my immigration or work authorization status changes after I begin work so that I am no longer able to continue to work in the U.S.,I will advise Sergio’s Family Restaurant’s Administrative office immediately.

I hereby authorize, without reservation, any part or agency contacted by this employer to furnish the above-mentioned information and further authorize ongoing procurement of the above-mentioned reports at any time during my employment. Copies of this authorization are as valid as the original document.

I acknowledge that I have read and understand the above statements.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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