Join Our Team | JACKS Urban Eats

PRIVACY NOTICE*
- Accept
Pursuant to the California Consumer Privacy Act (CCPA), JACKS URBAN EATS is notifying you that by applying for a position, you are providing us the following categories of personal information that we may use to evaluate your candidacy for employment, communicate with you regarding your candidacy, and obtain and verify background checks, and references: Personal Identifiers (e.g., name); Contact Information, Employment History, and Education History. By submitting this application, I acknowledge and confirm that I have received, read, and understand this notice and I authorize and consent to Jacks Urban Eats use of the personal information it collects, receives, or maintains for the business purposes identified above.
PERSONAL INFORMATION
Please tell us your contact info and the basics about yourself.
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Primary Phone*
Alternate Phone
Email*
ARE YOU LESS THAN 18 YEARS OF AGE?*
- Yes
- No

AVAILABILITY
Please let us know the hours you will be available to work at Jacks.
Sunday Earliest
Sunday Latest
Monday Earliest
Monday Latest
Tuesday Earliest
Tuesday Latest
Wednesday Earliest
Wednesday Latest
Thursday Earliest
Thursday Latest
Friday Earliest
Friday Latest
Saturday Earliest
Saturday Latest

EDUCATION
Please tell us about your education and experiences.
LAST GRADE COMPLETED IN HIGH SCHOOL*
HIGH SCHOOL NAME & LOCATION*
LAST GRADE COMPLETED IN COLLEGE*
MOST RECENT SCHOOL NAME & LOCATION*
MAJOR/AREA OR STUDY/DEGREE
ARE YOU CURRENTLY A STUDENT?*
- Yes
- No
LIST SCHOLARSHIPS, AWARDS, MEMBERSHIP, POSITIONS OF LEADERSHIP AND ELECTED OFFICES HELD.
LIST ANY PROFESSIONAL ACTIVITIES (YOU MAY EXCLUDE THOSE INDICATING RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, DISABILITY OR VETERAN STATUS) THAT RELATE TO YOUR ABILITY TO PERFORM THE JOB FOR WHICH YOU HAVE APPLIED.

PAST EMPLOYERS
Please submit previous employers as needed to account for the last five years of your employment history.
Employer #1 (Most Recent)
1st Employer's Name
1st Employer's Address
1st Employer's Supervisor Name
1st Employer's Supervisor Phone
1st Employer MAY WE CALL?
- Yes
- No
1st Employer's JOB TITLE & DUTIES
1st Employer's REASON FOR LEAVING
1st Employer's STARTING DATE
1st Employer's ENDING DATE
1st Employer's ENDING PAY RATE
Employer #2
2nd Employer's Name
2nd Employer's Address
2nd Employer's Supervisor Name
2nd Employer's Supervisor Phone
2nd Employer MAY WE CALL?
- Yes
- No
2nd Employer's JOB TITLE & DUTIES
2nd Employer's REASON FOR LEAVING
2nd Employer's STARTING DATE
2nd Employer's ENDING DATE
2nd Employer's ENDING PAY RATE

REFERENCES
Please submit your personal references by filling out the form below. We require at least one, though up to three is recommended.
Reference #1
1st Reference's Full Name*
1st Reference's Address*
1st Reference's Phone*
1st Reference's Occupation*
1st Reference's Years Acquainted*
Reference #2
2nd Reference's Full Name
2nd Reference's Address
2nd Reference's Phone
2nd Reference's Occupation
2nd Reference's Years Acquainted
Reference #3
3rd Reference's Full Name
3rd Reference's Address
3rd Reference's Phone
3rd Reference's Occupation
3rd Reference's Years Acquainted

ADDITIONAL COMMENTS
Please tell us anything else you feel would be relevant to your application.
Additional Comments:
LEGAL REQUIREMENTS
Please read carefully and check the box next to each paragraph.
Legal Requirements*
- I certify, under penalty of perjury, that all the information above is true and complete. I have not knowingly withheld any information that might adversely affect my chances for employment. I understand that any falsification, material omission or misstatement of information on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I further certify that I, the undersigned applicant, have personally completed this application.
- I hereby authorize Jack’s Urban Eats and its representatives to contact my prior employers and all others for the purpose of verification of all information I have supplied, and to thoroughly investigate my references, work record, education, professional credentials, and other matters related to my suitability for employment. Further, I authorize the references I have listed to disclose to the Jack’s Urban Eats any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Jack’s Urban Eats, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
- I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Jack’s Urban Eats. In addition, I understand and agree that if I am employed, my employment is “at-will” – that is, it is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Jack’s Urban Eats and that no promises or representations contrary to the foregoing are binding on the Jack’s Urban Eats unless made in writing and signed by me and the Jack’s Urban Eats’ designated representative.
- I understand and agree that in connection with my application for employment or possible assignment to another position within the Jack’s Urban Eats, the Jack’s Urban Eats may solicit and obtain information related to my character, work habits, job performance, experiences and abilities, and the reasons for the termination of past employment. I also understand and agree that the Jack’s Urban Eats may request information from various federal, state, and other agencies, including public and private sources that maintain records concerning my past activities relating to my driving record, credit history, criminal record, civil matters, previous employment, educational background, and other past experiences, to the extent permitted by law. Should the Jack’s Urban Eats obtain public records related to me (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment), I understand that I am entitled to copies of any such public records within seven (7) business days unless I mark the check box below. If the Jack’s Urban Eats takes any adverse action based on the information in such records, including denying me employment, I understand I am entitled to a copy of any such records even though I have checked the box below.
- I waive receipt of a copy of any public record described in the paragraph above.
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APPLICATION FORM

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

AVAILABILITY

EDUCATION

PAST EMPLOYERS

Employer #1 (Most Recent)

Employer #2

REFERENCES

Reference #1

Reference #2

Reference #3

ADDITIONAL COMMENTS

LEGAL REQUIREMENTS

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