Fillable Printable Outback Steakhouse Application Form
Fillable Printable Outback Steakhouse Application Form
Outback Steakhouse Application Form
CONFIDENTIAL PROPERTY OF OUTBACK STEAKHOUSE, INC.
HOURLY OUTBACKER EMPLOYMENT APPLICATION
Last Name First Name Middle Initial Today’s Date
Street/P.O. Box Apt. # City State ZIP Code
Day Phone No.
Evening Phone No.
Social Security
Number
Expected Hourly Pay Rate
Do you have reliable transportation to
and from work during our hours of
operation?
Yes No
Are you applying for a full-time or part-time
position?
Full-Time Part-Time
How many hours per week do you want to
work?
Minimum
Maximum
Position Applying For:
Server Host/Hostess Kitchen Prep Busser
Bartender Cook/Line Cook Dishwasher
1. If hired, can you submit documents to prove your legal right to work in the U.S.?....................... Yes No
2. Are you of legal age to serve alcoholic beverages (age requirements may vary by state)? ........ Yes No
3. We do not permit smoking in the restaurant while on duty. Are you willing to comply? .............. Yes No
4. Outback does not tolerate drug use by employees before or during work.
Are you willing to comply? ........................................................................................................... Yes No
5. Up to 50 lbs. of lifting several times a day is an essential function of kitchen positions.
Are you willing and able to comply with this requirement? .......................................................... Yes No
6. Being on your feet for 6-9 hours at a time is a requirement in dining room positions.
Are you willing and able to comply with this requirement? .......................................................... Yes No
7. Have you ever applied for a position at Outback or an affiliated company before? .................... Yes No
If yes, which location?
What was the result?
8. Have you ever been employed by Outback or an affiliated company? ....................................... Yes No
If yes, which restaurant?
When? From: /
To: /
Month/Year Month/Year
What was your position?
Why did you leave?
9. How many jobs have you had in the past year?
Past two years?
10. What were the circumstances for leaving each job?
11. What is the minimum amount you need to earn? $
/week $ /month
CONFIDENTIAL PROPERTY OF OUTBACK STEAKHOUSE, INC.
12. We may train on days you have other obligations. Are you willing to reschedule your plans to
come to training?.......................................................................................................................... Yes No
*13. Do you have any schedule obligations (e.g., annual trips, vacations, weddings, reserve
duty, or holidays) coming up that we need to know about? ........................................................ Yes No
**14 *Have you been convicted of a felony that has not been annulled, expunged or sealed by the court?
.................................................................................................................................................................
Yes No
(Conviction will not necessarily disqualify an applicant from employment, but will be considered in the context of the entire
application and position(s) applied for.)
**California residents only: You may exclude any marijuana related convictions over two years old.
**Massachusetts residents only: An applicant for employment who has a sealed record on file with the commissioner
of probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court
appearances or convictions. In addition, any applicant for employment may answer “no record” with respect to any
inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of
services which did not result in a complaint transferred to the superior court for criminal prosecution.
*15. What commitments do you have, or do you anticipate, that may affect your schedule?
*16. Would you be willing to work flexible hours (including weekends)? ......................................... Yes No
*17. Are you willing to work holidays? (We are closed on Thanksgiving and Christmas.) ............... Yes No
*18. Please indicate any days you are regularly unavailable.
MON TUES WED THURS FRI SAT SUN
NOT AVAILABLE
19. If hired, what notice do you need to give your current employer?
20. When would you be available to start?
21. Why are you applying for a position with us?
*22. If offered a position with Outback, how long would you plan to remain with us?
*23. Please explain any specialized training or course work you have completed that relates to the position for
which you are applying.
24. We have specific requirements for personal appearance for both the dining room and kitchen:
clean, proper work apparel, no excessive jewelry or makeup, and good general hygiene.
Are you willing to comply with these requirements? .................................................................... Yes No
25. Under what circumstances would you not feel comfortable serving alcohol?
*You may omit any information indicating legally protected characteristics.
CONFIDENTIAL PROPERTY OF OUTBACK STEAKHOUSE, INC.
Please complete the information requested below regarding your work history. Please do not write “See Résumé.”
EMPLOYMENT HISTORY
Current or Most Recent Employer Previous Employer Previous Employer
NAME OF EMPLOYER
ADDRESS/LOCATION
MAY WE CONTACT THIS
EMPLOYER? IF NO, PLEASE
EXPLAIN.
Yes No Yes No Yes No
SUPERVISOR’S NAME
PHONE NUMBER
LENGTH OF EMPLOYMENT
From To
Month/Year Month/Year
From To
Month/Year Month/Year
From To
Month/Year Month/Year
POSITION(S) HELD
DESCRIPTION OF DUTIES AND
RESPONSIBILITIES
HOURLY PAY RATE
Start Last Start Last Start Last
AVERAGE NUMBER OF HOURS
WORKED PER WEEK
REASON FOR LEAVING
If employed, I hereby agree to abide by all policies and rules of Outback Steakhouse, Inc., including those addressing job-related appearance and grooming standards. I understand that these policies and rules
may be amended or revised by the Outback Steakhouse, Inc., at any time and that nothing in this application creates, or will create, an express or implied contract of employment between the Outback
Steakhouse, Inc., and me. I understand that false, misleading, or omitted information in my application, resume, or interview(s) may result in discharge.
Signature Date
Attention: All HOURLY applications must be returned to an Outback restaurant. All MANAGEMENT applications must be returned to a
Joint Venture Partner. (Please DO NOT submit a MANAGEMENT application to an Outback restaurant.)
Optional: Emergency Contact Information
Please list the person we should contact in case of an emergency. Name:
Phone:
© 2000 DeCotiisErhard, Inc. CONFIDENTIAL PROPERTY OF OUTBACK STEAKHOUSE, INC. Revised 11/12/04
FOR OUTBACK OFFICE USE ONLY
C
ANDIDATE, PLEASE DO NOT WRITE ON THIS PAGE
Describe the following working conditions to the candidate:
How much trainees earn Tip share Teamwork expectations (Give example)
Non-smoking environment Hours (early, late shifts) Management team structure and tenure
Bussers do dishes Possible cross-training 2-3 table stations
Review our benefits and background:
Meal program Vacation policy Pay every two weeks History of Outback
Growth plans Simple uniform Opportunity (cross-training,
Dinner only Insurance details new restaurants, advancement)
HOURLY EMPLOYMENT VERIFICATION
Employment Verification #1 Employment Verification #2
Date of Employment Verification
Conducted by
Company
Name of Supervisor
Supervisor’s Title
Phone Number
“Mr./Ms. (Name) has applied for
employment with us. I would like
to verify some of the information
given to us. When did he/she
work for your company?”
From: /
Mo. Yr.
To: /
Mo. Yr.
From: /
Mo. Yr.
To: /
Mo. Yr.
“Would you re-employ him/her?”
Yes No Yes No
“What was his/her job with
you?”
“He/she says compensation was
$ . Is that correct?”
Yes No $
Yes No $
“Why did he/she leave your
company?”
“I would like to talk to another
individual who worked closely
with (Name). Who can you
recommend and how can I
contact him/her?”
Name
Position
Phone #
Name
Position
Phone #
Additional Comments
Management Recommendation: Continue Discontinue _______Manager _______KM
