Please fill out the application below completely. Make sure you check the confirmation at the bottom of the application (your digital signature) and click 'SEND'. Your application will be sent to us via email. You will also recieve a copy if you have entered a valid email address.

In order for you to be considered for employment, this application must be filled out in its ENTIRETY.

GENERAL INFORMATION

FULL Name: Social Security No:

(Area Code)Phone: / Email:

Present Address: Street: City State Zip

Age (if under 21): Birth Date (if under 21):

Are you legally able to work in the United States? YES / NO (Proof of identity and legal authority to work in the U.S. is a condition of employment.)

For what position(s) are you applying? Server / Host / Bartender / Busser-Server Ass’t / Line Cook / Production / Dishwasher-Utility / Other

Expected Weekly Earnings:

Who referred you to GIORDANO'S RESTAURANT?

Are you presently or have you ever been employed by GIORDANO'S RESTAURANT? YES / NO Dates:

Have you ever been convicted of a felony which has not been annulled or sealed by a court? YES / NO (Convictions will not necessarily exclude you from employment, but date and type of conviction may be considered for job placement.) If yes, please explain:

WORK SCHEDULE AVAILABILITY

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? What Days and Nights are you available to work?

EDUCATION

Name of School / Location Courses Majored In Diploma? Grade Avg. HighSchool YES / NO College/Other YES / NO

BUSINESS EXPERIENCE

(List most recent three employers) Present Employer (or most recent) Area Code/Phone: City, State Name of Supervisor Title: Your Position: Reason for Leaving: From Mo. Year To Mo. Year Salary Previous Employer Area Code/Phone: City, State Name of Supervisor Title: Your Position: Reason for Leaving: From Mo. Year To Mo. Year Salary Present Employer (or most recent) Area Code/Phone: City, State Name of Supervisor Title: Your Position: Reason for Leaving: From Mo. Year To Mo. Year Salary

LEGAL NOTICES AND SIGNATURE

I UNDERSTAND THAT GIORDANO'S RESTAURANT HAS IN PLACE A DISPUTE RESOLUTION PROCEDURE, AND I FURTHER ACKNOWLEDGE AND AGREE THAT IF I AM OFFERED AND ACCEPT EMPLOYMENT, ANY DISPUTE BETWEEN ME AND GIORDANO'S RESTAURANT RELATING TO MY EMPLOYMENT AND/OR MY SEPARATION FROM EMPLOYMENT, SHALL BE SUBMITTED WITHIN ONE (1) YEAR OF THE DAY WHICH I LEARNED OF THE EVENT AND SHALL BE RESOLVED PURSUANT TO THE TERMS AND CONDITION OF THE DISPUTE RESOLUTION 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 employee 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 receive 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 AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. ANY MISREPRESENTATION, FALSE STATEMENT, OR OMISSION OF FACTS CALLED FOR SHALL BE GROUNDS FOR REFUSAL OF EMPLOYMENT OR IF HIRED, DISMISSAL FROM EMPLOYMENT. I UNDERSTAND THAT ANY VIOLATION OF COMPANY RULES, POLICIES, STANDARDS, AND/OR PROCEDURES SHALL BE GROUNDS FOR DISMISSAL. I AGREE TO CONFORM TO THE RULES, POLICIES, STANDARDS, AND REGULATIONS OF GIORDANO'S RESTAURANT. I UNDERSTAND THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME AT THE OPTION OF GIORDANO'S RESTAURANT OR MYSELF, AND I UNDERSTAND THAT NO REPRESENTATIVE OF THE COMPANY HAS THE AUTHORITY TO MAKE ANY MODIFICATIONS, EITHER VERBALLY OR IN WRITING TO THE CONTRARY. IT IS THE POLICY OF GIORDANO'S RESTAURANT TO HIRE ONLY U.S. CITIZENS AND ALIENS WHO ARE LAWFULLY AUTHORIZED TO WORK IN THE UNITED STATES. ALL EMPLOYEES WILL BE ASKED TO VERIFY EMPLOYMENT ELIGIBILITY PRIOR TO BEGINNING WORK.

NOTE: You must click 'YES' below and input the Date to digitally 'sign' your application. Applications will NOT be accepted without this action. I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. YES / NO Date: