Full Name

Current Address

Phone Number

Are you 18 Years Old or Older?

Choose One No, I am under 18 Years Old Yes, I am Older than 18 Years Old

Do You Have Your Own Transportation?

Choose One Yes No

Date You Can Start

Salary Desired

Location Applying For

Choose One Champaign, Illinois Peoria, Illinois Urbana, Illinois Springfield, Illinois Tipp City, Ohio

Position Desired

Choose One Food Service / Prep Cashier / Drive-Thru Dishwasher Bartender (Urbana & Champaign Only) Manager Catering

Employment Type

Choose One Full Time Part Time

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Are You Employed Now?

Choose One Yes No

May We Contact Your Present Employer?

Choose One Yes No

Previous Employer #1

Address

Start Date

End Date

Position

Reason for Leaving

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Previous Employer #2

Address

Start Date

End Date

Position

Reason for Leaving

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Previous Employer #3

Address

Start Date

End Date

Position

Reason for Leaving

Have You Applied to Hickory River Smokehouse Before?

Choose One Yes No

When?

Where?

High School

High School - School Location School Location

High School - Subjects Studied Subjects Studied

High School - Did You Graduate? Did You Graduate?

Choose One Yes No

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College

College - School Location School Location

College - Subjects Studied Subjects Studied

College - Did You Graduate? Did You Graduate?

Choose One Yes No

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Trade, Business, or Tech School

Trade / Tech School - School Location School Location

Trade / Tech School - Subjects Studied Subjects Studied

Trade / Tech School - Did You Graduate? Did You Graduate?

Choose One Yes No

Give the names of three persons not related to you, whom you have known at least one year.

Name of Reference #1

Years Acquainted

Address

Phone Number

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Name of Reference #2

Years Acquainted

Address

Phone Number

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Name of Reference #3

Years Acquainted

Address

Phone Number

Do you have any physical limitations that preclude you from performing any work for which you are being considered?

Physical Limitations?

Choose One Yes No

If Yes, Please Describe

US Military Service & Rank

In case of emergency, please notify

Name

Address

Phone Number

Hickory River Smokehouse is committed to providing a non-discriminatory employment environment for its employees.

The policy of Hickory River Smokehouse to afford equal employment opportunities to all qualified individuals, without regard to their race, color, ancestry, religion, sex, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, gender identity or expression, or any other characteristic or status that is protected by federal, state or local law. This policy applies to hiring, tenure of employment, and all terms and conditions of employment, including but not limited to promotion and development, assignment, transfer, compensation, benefits, discipline, demotion, and training provided by the restaurant.

Hickory River Smokehouse is an equal opportunity employer and welcomes all qualified individuals to apply.

BY SUBMITTING THIS ONLINE JOB APPLICATION, I CERTIFY 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 LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED WITHOUT ANY PRIOR NOTICE