Employment Application Weber Grill Restaurant is looking for you LOCATIONChoose which location you want to apply(Required)ChicagoLombardSchaumburgIndianapolisPERSONAL INFORMATIONName First Middle Last How did you hear about us?IndeedSocial MediaCurrent Employee ReferralWalk-InOtherOther: Please specifyPresent Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number(Required)Email Address(Required) If Hired, Can You Provide Proof of Legal Right To Work?YesNoCheck One 21 or older 18 or older Have you previously worked for us?NoYesStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY LocationADDITIONAL INFORMATIONPosition applied forWage DesiredDate available to start work MM slash DD slash YYYY Are you seeking Full Time Part Time How many hours per week are you available to work?WHAT TIMES ARE YOU AVAILABLE TO WORK**breakfast for Chicago location only**Sunday Breakfast Lunch Dinner Monday Breakfast Lunch Dinner Tuesday Breakfast Lunch Dinner Wednesday Breakfast Lunch Dinner Thursday Breakfast Lunch Dinner Friday Breakfast Lunch Dinner Saturday Breakfast Lunch Dinner EDUCATIONHigh SchoolGraduated?Degree EarnedCollegeGraduated?Degree EarnedTrade/Business SchoolGraduated?Degree EarnedEMPLOYMENT HISTORYPlease start with the most recent1. EmployerCityJob TitleStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Phone NumberName of SupervisorReason for LeavingMay we contact this employer?YesNo2. EmployerCityJob TitleStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Phone NumberName of SupervisorReason for LeavingMay we contact this employer?YesNo3. EmployerCityJob TitleStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Phone NumberName of SupervisorReason for LeavingMay we contact this employer?YesNoREFERENCESList three persons, other than relatives or personal friends, you will permit us to contact, who have knowledge of your work experience or education.NameRelationshipYears KnownPhone NumberNameRelationshipYears KnownPhone NumberNameRelationshipYears KnownPhone NumberAUTHORIZATIONApplication must be signed prior to submitting. In submitting this Application, I understand that I am subject to the following conditions:Consent(Required) If hired, my employment is at will and may be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself.(Required)Consent(Required) Nothing in this Application, the Employee Manual, or any other documents or oral statements constitutes a contract of employment between the Company and me. The Company reserves the right to change all terms and conditions of employment, at anytime, with or without notice.(Required)Consent(Required) All hired individuals must provide proof of identity and authorization to work in the U.S. Failure to provide such proof will result in denial of employment.(Required)Consent(Required) I authorize investigation of all statements given on this application. The employer may contact any educational institution reference, or employer listed on this application, except an employer that is noted “no”, to verify the information I have given. I hereby release all involved parties from any liability arising from such an investigation.(Required)Consent(Required) Should the employer hire me and should any of the information I have given in this application be found false, misleading or incomplete, my employment may be terminated.(Required)Consent(Required) I certify that all the information given in this application is complete and true.(Required)We appreciate your interest in Weber Grill Restaurants. Weber Grill Restaurants is an equal employment opportunity employer. The Company’s policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Weber Grill Restaurants also prohibits harassment of applicants or employees based on any of these protected categories. It is also the Company's policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.