Fillable Printable Red Robin Application Form
Fillable Printable Red Robin Application Form
Red Robin Application Form
Application for Employment
LEHIGH VALLEY RESTAURANT GROUP D.B.A. RED ROBIN IS AN EQUAL OPPORTUNITY EMPLOYER.
Please be advised that all phases of employment at Lehigh Valley Restaurant Group are based strictly on the qualification of the individual as related to the work requirements of
the positions. This policy is applied without regard to race, creed, color, religion, national origin, sex, affectional or sexual orientation, age (40 and over), disability, veteran
status or any other category covered by applicable law. Please answer the questions fully and accurately. No action can be taken on this application until you have answered all
of the questions. Please print, except for signature.
PERSONAL INFORMATION
____________________________________________________________________________ __________-________-___________
Last name, First name (please print legibly) Social Security Number
______________________________________________________ _____________________________ _______________________
Street Address City, State Zip
_________-__________-__________ __________-________-___________ _________________@_______________________
Home Phone Number Cell Phone Number Email Address
______________________________________ __________________________________________ ________-________-________
Emergency contact name Relation Phone number
Are you at least 18 years old? YES NO
Are you legally eligible to work in the United States? YES NO
Lehigh Valley Restaurant Group realizes that certain criminal convictions may have no reasonable relationship to the functions or responsibilities of the job in question. For this
reason, a conviction record will not necessarily be a bar to employment. Factors such as age and time of the offense, seriousness, and the nature of the violation, and
rehabilitation will be taken into account. Failure to disclose criminal convictions is considered falsification of this document and is grounds for termination.
Have you been convicted of a felony or misdemeanor within the past seven (7) years (excluding convictions which have been annulled or expunged)?
YES NO
______________________________________________ _______________________ __________________________________________
Conviction description (DUI, Theft, etc) Month/Day/Year of Incident Outcome (Jail, probation, ARD, etc)
______________________________________________ _______________________ __________________________________________
Conviction description (DUI, Theft, etc) Month/Day/Year of Incident Outcome (Jail, probation, ARD, etc)
POSITION INFORMATION
__________________________________________ $____________________ ____________________________________
Position Applying For Expected Salary/Wage Expected Start Date
Have you applied / worked for Red Robin before? YES NO When?_______________ How did you hear about us?_________________
(if referred by employee, write their name above)
AVAILABILITY
# of hours available to work each week? _______________
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start Time
End Time
If hired, the hours listed will be taken into consideration in our scheduling process. If you have any time related conflicts, please list them below:
________________________________________________________________________________________________________________________
EMPLOYMENT HISTORY
May we contact present employer? YES NO
1. ______________________________________ ________________________________________ ___/___/___-___/___/___
Current/Most Recent Employer Job Title From To
$____________ _________________________________________________ ___________________________________________
Salary/Wage Supervisor’s Name & Title Reason for Leaving
2. ______________________________________ ________________________________________ ___/___/___-___/___/___
Previous Employer Job Title From To
$____________ _________________________________________________ ___________________________________________
Salary/Wage Supervisor’s Name & Title Reason for Leaving
3. ______________________________________ ________________________________________ ___/___/___-___/___/___
Previous Employer Job Title From To
$____________ _________________________________________________ ___________________________________________
Salary/Wage Supervisor’s Name & Title Reason for Leaving
EDUCATION
________________________ YES NO ___________________________________ ________________________________
High School/GED Degree received? College/ Trade School Degree/Cert received?
PROFESSIONAL REFERENCES
_____________________________ _________________________________ ______________________________ ________________
Name Company/Title Business Relationship Phone Number
_____________________________ _________________________________ ______________________________ ________________
Name Company/Title Business Relationship Phone Number
_____________________________ _________________________________ ______________________________ ________________
Name Company/Title Business Relationship Phone Number
QUALIFICATIONS
To help us get to know you better, please rank your skill (on a scale from 1-10) in the following areas:
____Casual dining experience _____Communication _____Schedule Writing
____Bar (beer & liquor) knowledge/experience _____Accountability & Ownership _____Interviewing
____Guest service/guest recovery _____MS Office/Computer ability _____Performance Reviews
____Leadership/Management of People _____Coaching & Counseling Employees _____Human Resources Issues
Most restaurant jobs require that employees be capable of lifting, bending, reaching, standing and moving at a quick pace for periods of up to four
hours in duration. Do you have any physical conditions that restrict your ability to perform the essential job functions with reasonable
accommodation? YES NO
Red Robin is a non-smoking company. Are you willing and able not to smoke while working on the premises? YES NO
The above information is true to the best of my knowledge and I authorize Lehigh Valley Restaurant Group D.B.A. Red Robin to check the references I have provided. I authorize Lehigh Valley
Restaurant Group (LVRG) to investigate my employment, education, and further authorize the references I have listed to disclose to the Company any and all letter, reports, and other information
related to my work records, without giving me prior notice of such disclosure. I hereby release the Company, my former employers, and all other persons, corporations, partnerships, and
associations form any and all claims, demands, or liabilities arising out of or in any way related to such investigations or disclosure. I understand that false or incomplete information in an
application for employment may be grounds for dismissal and forfeiture of all related benefits. I understand that I am applying for employment which can be terminated at will by either party at any
time and that nothing contained in any manual, brochure, or other LVRG materials shall constitute an implied contract of employment. I consent to LVRG conducting its own criminal background
check for purposes of verifying my criminal history.
__________________________________________________ ________________________
Signature Date
