Job Opportunities At Roundabout Diner in Portsmouth

Personal Information

Employment Desired

Your Education

Former Employers

List Below Last Two Employers, Starting with Last One First

References

Give Names of Three People Not Related to you, Whom You Have Known At Least One Year

I certifiy that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.  I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment  any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.  I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in wiritng and signed by an authorized company representative.  This waiver does not permit the release or use of disabiltiy-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.  In compliance with federal law, all persons hired will be required to verify identity and eligibiliity to work in the United States and to complete the required employment eligibility verification document form upon hire.