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Application for Employment

It is the policy of this Company, LCM Foods, LLC d/b/a The Gound Pat'i Grille & Bar, to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability or veteran status.

PLEASE PRINT CLEARLY ****MUST BE ABLE TO WORK WEEKENDS AND HOLIDAYS****

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Employment Desired

Education Currently Attending and/or Completed

Employment History 

(Start with most recent employer)


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Emergency Contact - Mandatory Information

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Please Read Before Signing

 It is Company policy that individuals employed be at least 16 years of age. Younger than that is a conflict with Minor Labor Laws and available

tasks within the organization. Therefore, I certify that I am at least 16 years of age and if offered Employment able to provide a Minor Work Release

Form.

I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing

that, if disclosed, would alter the integrity of this application. I further understand that any false information or significant omissions may disqualify

me for employment and may be justification for my dismissal if discovered at a later date.

I authorize my previous employers or schools to give any information regarding employment or educational record. I agree that this company and my

previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false

statements, omissions, or answers made by myself on this application. Upon termination of my employment for any reason, I release this Company

from all liability for supplying any information concerning employment to any potential employer.

 In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication

distributed to the employees.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the

company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved

documents that are required.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at

any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis.

I understand Health Care Coverage is not offered by this Employer. Information will be provided should I desire to obtain such through a common

Marketplace as outlined in the Patient Protection and Affordable Care Act (PPACA) of 2010.

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

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