Applicant Information

(If under 18 years of age, a work permit is required)
(Proof of U.S. citizenship or immigration status will be required upon employment)



Please list three references who are not relatives.

Employment History

Diner 248 maintains a policy of non-discrimination for all employees and applicants in every facet of the company’s operations. In compliance with federal and state laws, Diner 248 provides equal opportunities at all levels of employment without regard to race, sex, age, color, religion, national origin, veteran status, creed, marital status, disability or sexual orientation.

I certify that the information contained in this application is correct to the best of my knowledge. I further understand that falsification, misrepresentation or omission of facts is sufficient cause for rejection of this application or discharge if I am later employed.

I understand that all statements made here are subject to verification by Diner 248.
I authorize and consent to any person or organization referenced in this application to furnish Diner 248 with any and all information concerning my previous employment, education, or any other information pertaining to me upon its request. I release from all liability or responsibility all persons or organizations requesting or supplying such information. For purposes of verification, a photocopy of this authorization shall be considered an original and valid.

If employed, I understand that I will be an employee “at will” and either Diner 248 or I may terminate the employment relationship at any time with or without notice. I acknowledge that any offer of employment, or my acceptance of such, may be withdrawn, with or without cause, and with or without prior notice, at any time, at the option of Diner 248 or myself. I understand that this application and any other documents which I may receive are not contracts of employment.

I agree to comply with Diner 248’s rules, regulations and policies and acknowledge that these rules, regulations and policies may be changed, interpreted, withdrawn, or supplemented any time and without prior notice to me.