Arni's Application for Employment *THIS APPLICATION WILL NOT BE CONSIDERED UNLESS FULLY COMPLETED - PLEASE ANSWER ALL QUESTIONS In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or the presence of a non-job related medial condition or handicap. Please let us know which Arni's location you are interested in joining (select all that apply) Cicero Indianapolis (96th and River Road) Pine Village Columbus Lafayette Rensselaer Crawfordsville Lebanon Rossville Floyd's Knobs Monticello Williamsport Frankfort New Albany   Indianapolis (86th and Michigan) Indianapolis (96th & Gray Road)   GENERAL INFORMATION Date of Application Position Applying For: 1. 2. 3. Referral Source: Advertisement Friend/Relative Other Rate of Pay Expected: Have you filed an application to work here before? Yes No Date Available to Start  PERSONAL INFORMATION NAME First Middle Last ADDRESS Street City State Zip PHONE EMAIL ADDRESS CELL PHONE SOCIAL SECURITY NUMBER In case of accident or emergency, please notify: Name Address Phone Number   Are you a citizen of the United State? Yes No( If you are offered employment, you will be required, by federal law, to furnish documents showing you are either a U.S. citizen or an authorized alien. Individuals who do not furnish these documents cannot work for the Company.) Are you available to work Full time (32+hrs/week) Part Time Seasonal (Summer vacations, winter holidays) (If part time, how many hrs/shifts ) and Days Nights or Both Are you under 18 years of age? Yes  No   if so   what is your birthday Are you at least 21 years of age? Yes  No Have you been convicted of a felony or released from prison within the last 7 years? Yes No  If yes, describe in full including date(s) (Conviction will not necessarily disqualify applicant from employment) Do you smoke? Yes  No Do you have any physical defects that preclude you from performing any work for which you are being considered? Yes  No If yes, please explain: (Employment discrimination is prohibited on the basis of a physical or mental handicap unrelated to a person's ability to engage in a particular occupation) Are you a veteran? Yes  No  If yes, what was your branch of military service and Rank EMPLOYMENT EXPERIENCE List each job held. Start with your present or last job. Include military service assignments and volunteer activities. Date Name and Address of Employer Hourly Rate/Salary Starting - Final Job Title - Work Performed Supervisor Reason for Leaving From: To: From: To: From: To: From: To: From: To: REFERENCES Give name, address and phone number of three references not related to you. 1.Name   Address Phone Number 2.Name   Address Phone Number 3.Name   Address Phone Number EDUCATION Please check years completed and list the name of schools you attended. Elementary School  -  Years Completed 5678 Name: High School  -  Years Completed 9101112 Name: College/University  -  Years Completed 1234 Name: Graduate/Professional  -  Years Completed 1234 Name: Other pertinent information concerning scholastic performance including honor societies, scholarships, awards, and other academic accomplishments. (You may exclude those that indicate race, color, religion, sex, national origin, age, marital, handicapped or veteran status.) Describe specialized training, apprenticeship skills, and extra-curricular activities Are you known to schools/references by another name? Yes No  by what name? APPLICANT'S STATEMENT I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment. I hereby authorize anyone of whom request is made to supply to the Company any information concerning my background in connection with my being considered for employment with the Company. I hereby release all parties, including but not limited to the Company, my personal references and my previous employers from any and all liability for any injury or damage that may result from their furnishing information to the Company concerning me or any action the Company takes on the basis of such information. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that: (a) misrepresentation or omission of facts on this application is cause for immediate dismissal; (b) I am required to and agree to abide by all Company rules and regulations as a condition of employment; (c) this application is not a contract of employment; and (d) my employment is at-will and is for no definite period of time, and as such, either the Company or I may terminate the employment relationship with or without cause at any time. By hitting submit you accept the previous statement Thank you for applying to join the Arni's team! Your application will be immediately sent to the restaurant(s) you have expressed interest in. Please check your phone number(s) and e-mail address since these will be used to contact you for an interview.  We look forward to meeting you!