Which location are you applying to? *Copper Canyon Grill Arundel MillsCopper Canyon Grill GlenardenCopper Canyon Grill GaithersburgCopper Canyon Grill Silver SpringThe Stanford Grill RockvilleThe Stanford Grill ColumbiaThe Stanford Kitchen Owings MillsHow did you hear about The Stanford Grill *How did you hear about Copper Canyon Grill *Which position are you applying for? *ServerHost/HostessBartenderDesired Start Date *Name *FirstMiddleLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *EmailConfirm EmailPhone *Emergency Contact Name *Emergency Contact Number *Are you under 18 years of age? *yesnoIf "Yes" List Date of Birth *Have you ever been employed by the Blueridge Restaurant Group? *YesNoIf "yes" please complete the following:Name of Supervisor *Location *Employment Desired *Full-TimePart-TimeWHICH DAYS ARE YOU AVAILABLE TO WORK? *MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAYselect all that applyHOURS AVAILABLE: MONDAY *From-ToHOURS AVAILABLE: TUESDAY *From-ToHOURS AVAILABLE: WEDNESDAY *From-ToHOURS AVAILABLE: THURSDAY *From-ToHOURS AVAILABLE: FRIDAY *From-ToHOURS AVAILABLE: SATURDAY *From-ToHOURS AVAILABLE: SUNDAY *From-ToEDUCATION *High SchoolCollegeGraduate SchoolOtherSelect all that applyEDUCATION: High School *Name and address of schoolMajor *Years Attended *Did You Graduate? *YesNoDegree Received *Graduate SchoolName and address of schoolMajorYears AttendedDid You Graduate?YesNoDegree Received EDUCATION: CollegeName and address of schoolMajor Years Attended Did You Graduate? YesNoDegree Received EDUCATION: OtherName and address of schoolMajor Years Attended Did You Graduate? YesNoDegree Received EMPLOYMENT (1) *(List most recent job first)Company Address *Job Title/Duties Performed *Name of Supervisor *Phone Number (Area Code) *Example: (410)-222-2222Start Date *Month/yearEnd Date *Month/YearStarting Pay *Ending Pay *Reason For Leaving *EMPLOYMENT (2)Company AddressJob Title/Duties Performed Name of Supervisor Phone Number (Area Code) Example: (410)-222-2222Start Date Month/yearEnd Date Month/YearStarting Pay Ending Pay Reason For LeavingEMPLOYMENT (3)Company Address Job Title/Duties Performed Name of Supervisor Phone Number (Area Code) Example: (410)-222-2222Start DateMonth/yearEnd Date Month/YearStarting Pay Ending Pay Reason For Leaving PERSONAL REFERENCES (1) *Not former employers or relativesRelationship or Title *Phone Number *PERSONAL REFERENCES (2) *Not former employers or relativesRelationship or Title *Phone Number *I certify that the above information is correct and understand falsification is grounds for dismissal. I authorize the references, supervisors, and educational institutions listed above to give you any information, personal or otherwise, concerning my prior employment or education. I authorize you to conduct a criminal conviction and credit check on me, and I release all parties from any liability resulting from furnishing this information to you. I understand and agree that Stanford Grill employment policies, manuals, and handbooks are not express or implied contracts and that these documents and the wages, benefits, and other terms and conditions of employment may be changed at Stanford Grill discretion from time to time without notice to me. I understand and agree that my employment with Stanford Grill may be terminated by me or Stanford Grill at any time for any reason without prior notice to the other party and that no written or oral Stanford Grill policy concerning continued employment constitutes or is intended to constitute an express or implied contract. I further understand and agree that, except for this application, there are not now and will not in the future be any express or implied contractual terms of employment between Stanford Grill and me. *YesElectronic Signature (Required) *Date *NameSubmit Your Application