WELCOME MENU LOCATIONS VIDEOS PHOTOS BEACHCAM ABOUT CONTACT EMPLOYMENT APPLICATION FOR EMPLOYMENT SOUTHERN RESTAURANT GROUP We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, disability or marital status, in the states of Florida and Alabama. Today's Date * MM DD YYYY Which Back Porch location are you applying for * Destin Panama City Beach Name * First Middle Last Present Address Street City State/Zip Code Permanent Address Street City State/Zip Code Local Phone Number * Permanent Phone Number Email address Do you have a Social Security card? Yes No Referred By Position Desired Available Start Date MM DD YYYY Salary Desired Are You Currently Employed? If so, may we inquire of your present employer? Yes No Are you at least 18 years of age or older? Yes No If no, please state your age Are you a U.S. Citizen or do you have permission to live and work in the United States? Yes No Have you ever applied with or worked at any Southern Restaurant Group affiliated property? Yes No If yes, where? / when? Education HIGH SCHOOL - Name and location of school Last year completed 1 2 3 4 Did you graduate? Yes No COLLEGE - Name and location of school Last year completed 1 2 3 4 Did you graduate? Yes No Activities other than religious (civic, athletic, etc.) Exclude organizations if the name or character of which indicates the race, age, sex, color or national origin of it's members. FORMER EMPLOYERS List below your last four (4) employers, starting with your most current position first. Started working there MM DD YYYY Stopped working there MM DD YYYY Address of most recent employer Salary Position Supervisor's name Reason for leaving Started working there MM DD YYYY Stopped working there MM DD YYYY Address of 2nd most recent employer Salary Position Supervisor's Name Reason for leaving Started working there MM DD YYYY Stopped working there MM DD YYYY Address of 3rd most recent employer Salary Position Supervisor's name Reason for leaving Started working there MM DD YYYY Stopped working there MM DD YYYY Address of 4th most recent employer Salary Position Supervisor's name Reason for leaving REFERENCES Give the names of three (3) persons not related to you, whom you have known for at least one (1) year Address Business Years acquainted Address Business Years acquainted Address Business Years acquainted Have you ever been convicted of a crime? * Yes No If yes, explain By hitting the submit button below, you are indicating that the information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in your dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. In order to provide SRG with information and opinions that may be useful in our hiring decisions, I hereby authorize any person, school, current or past employer, organization or entity disclosed in this application or during my interview to provide any information regarding me, including without limitation, the information concerning my performance, reputation and character. I acknowledge that the information divulged may be negative or positive with respect to me. Nevertheless, pursuant to this authorization, I unconditionally release such person, school, employer, organization or entity from any and all legal liability for furnishing such information and in making such statements. If SRG decides to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, SRG must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report. EMPLOYMENT WITH SOUTHERN RESTAURANT GROUP IS "EMPLOYMENT AT-WILL", THEREFORE, EMPLOYMENT MAY BE TERMINATED AT WILL, WITHOUT RECOURSE, WITHOUT NOTICE AND WITHOUT CAUSE. MM DD YYYY TOP DESTIN OPEN DAILY AT 11AM 1740 Scenic Hwy 98 Destin, FL — 32541 850.837.2022 HAPPY HOUR 3PM - 5PM PANAMA CITY BEACH OPEN DAILY AT 11AM 16220 Front Beach Road Panama City Beach, FL — 32413 850.233.1750 HAPPY HOUR 2PM - 5PM THE BACK PORCH | POMPANO JOE'S | LOUISIANA LAGNIAPPE Copyright © 2015 Southern Restaurant Group