Application for Employment Step 1 of 3 33% We are an equal opportunity employer and our policy is to comply with all employment laws, state or local in origin. Our employees, as well as job applicants, are entitled to reasonable accommodation, if necessary, to perform a particular job function as well as the completion of this application or any other employment form.Employee DetailsAre you eligible to work in the U.S.?* Yes No Are you 18 years old or older?* Yes No Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you lived at the address?* Phone Number*Email Address* Do you know anyone presently employed at The Caucus Club?* Yes No Who is the employee that you know?* Have you ever worked for The Caucus Club or Louis' Chop House?* Yes No When did you work at one of these locations?* Position Desired* Back Waiter Barbacks Bartender Dishwasher Host Line Chef Pastry Chef Waiter Assistant Waitstaff Attach ResuméMax. file size: 256 MB.Resumés are required for all cooks, waitstaff, hosts and bartenders.Please check which of the following you prefer or are able to work:* Full Time Part Time Days Nights Permanent Temporary Anytime Available Date when you will be available to work, if hired for employment:* MM slash DD slash YYYY The job you are applying for will from time to time require you to be able to do the following: Reading and writing legibly in English Lifting and carrying loads of upwards of 25 pounds Bending and stooping to retrieve necessary items Reaching in all directions to retrieve necessary items Are you able to perform all these job functions?* Yes No Please state which functions you cannot perform:*The job you are applying for may require work on Saturdays, Sundays and Holidays. While reasonable accommodations can be made for you, are you willing to work such a schedule?* Yes No Explain briefly why you are not willing to work such a schedule:*How long will it take you to get from home to work?* What type of transportation will you use?* Automobile Public Transportation Other Employment HistoryCurrent or Last Employer* Dates of Employment* Position Held* Reason for Leaving* Supervisor* Supervisor Phone NumberPrevious Employer* Dates of Employment* Position Held* Reason for Leaving* Supervisor Phone NumberPrevious Employer Dates of Employment Position Held Reason for Leaving Supervisor Phone Number Education, References, etc.What is the name of the school/college you attended and the last grade/level you completed?School Name* Last Grade Completed* College/University Name Degree Achieved Are you attending school now?* Yes No College/University Name* Studying* Please list two personal references (please, no relatives).Name* First Last Company* Phone Number*Name First Last Company Phone NumberHave you ever been convicted of, or pled guilty to, any crime involving theft, sexual abuse destruction of property or physical violence?* Yes No Please explain in detail:Drug Free Work Place. Do you understand that the Riviera Hospitality Group Inc. dba The Caucus Club is committed, for its employees and guests, to a drug free workplace at all times?* Yes No Before a final employment decision is made, we will require proof of your Social Security status, your age and employment eligibility status. If employed, can you furnish a Social Security Card, drivers license, birth certificate or other evidence of age, and proof of lawful employment status?* Yes No Do you understand and authorize us to make routine inquiries about the information disclosed in this application and to disclose such information to others, which may elicit knowledge of your character and/or reputation?* Yes No Do you understand that upon your written request to us, you may obtain information as to the nature and scope of any reports received?* Yes No I hereby state that the foregoing information is true and correct to the best of my knowledge. I understand that any misrepresentations or willful omission of facts shall be cause for rejection of this application and termination of employment, if hired. I hereby authorize the Employer to conduct work history, educational, personal references, and conviction record inquiries to determine my acceptability for employment. I understand and agree that if accepted for employment that my employment and any term thereof can be terminated with or without cause and with or without notice, at any time, at the option of either the Employer or myself. I further understand and agree that unless in writing and signed in person by the President or Vice President of the Corporation, that no other person has authority to enter into any agreement with me, whether oral or in writing, which is contrary to this understanding and agreement.By checking the following box, you understand and agree to the statements above.* I agree Declaration of Tips I understand that if I am employed by the New Riviera Restaurant Inc. in a tipped position (server, server assistant, bartender, bar back, food runner, carryout order taker, coat room attendant,) I am legally obligated to declare 100% of the tips I receive daily when prompted at clock-out. I also understand non-compliance of this requirement may lead to disciplinary action.By checking the following box, you understand and agree to the statements above.* I agree Emergency ContactName* First Last Phone Number*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NameThis field is for validation purposes and should be left unchanged.
