Rockne’s Job Application Step 1 of 7 – Applicant Contact Information 14% Name(Required) First Middle Last Email(Required) Phone(Required) Current Address(Required) 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 Previous Address(If lived at present address less than 2 years) 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 Are You Over 21?(Required) Yes No If Under 18, Give Age:Please enter a number less than or equal to 17.Are You Legally Able To Work In The United States?(Required)(proof of identity & legal authority to work in U.S. is a condition of employment.) Yes No Rockne's location you are applying to (You may select more than one):(Required) Akron Cuyahoga Falls Fairlawn Kent Massillon North Canton Streetsboro For what position(s) are you applying for: (Specific position must be listed for this application to be considered)(Required) Manager Server Host Bartender Busser Kitchen Supervisor Line Cook Prep Cook Dishwasher Expeditor Other If you selected OTHER, what position are you interested in?Expected Starting Hourly Rate $Expected Weekly Earnings $Who referred you to Rockne's?Date Available for Employment: MM slash DD slash YYYY Are you presently or have you ever been employed by Rockne's Restaurants? Yes No If yes, list the location(s) you were employed:Dates of Employment – Start DateFrom: MM slash DD slash YYYY Dates of Employment – End DateTo: MM slash DD slash YYYY Have you ever been convicted of a felony? Yes No If yes, please explain. (Convictions will not necessarily exclude you from employment, but date and type of conviction may be considered for job placement.) Work Schedule AvailabilityWhat shifts/hours are you available to work? (Please list hours in AM/PM)MONTUESWEDTHURSFRISATSUN Add RemoveAre you willing to work a split shift? Yes No Are you willing to stay late in an emergency? Yes No Are you willing to work holidays/weekends? Yes No EducationHigh SchoolSchool NameSchool LocationCourses MajoredLast Year CompletedDiploma? (Yes/No)Grade Average Add RemoveCollege/OtherSchool NameSchool LocationCourses MajoredLast Year CompletedDiploma? (Yes/No)Grade Average Add Remove Previous Employment ExperiencePresent & Previous EmployersCompany NamePhoneAddressYour Position Add RemovePresent & Previous Employers: Supervisor Info 1Supervisor NameSupervisor TitleReason For LeavingFrom DateTo Date Add RemoveDo You Want To Add Another Employer? Yes No Present & Previous EmployersCompany NamePhoneAddressYour Position Add RemovePresent & Previous Employers: Supervisor Info 1Supervisor NameSupervisor TitleReason For LeavingFrom DateTo Date Add RemoveDo You Want To Add Another Employer? Yes No Present & Previous EmployersCompany NamePhoneAddressYour Position Add RemovePresent & Previous Employers: Supervisor Info 1Supervisor NameSupervisor TitleReason For LeavingFrom DateTo Date Add RemoveResumeClick BROWSE to find your resume if you want to attach it to your application. We only accept PDF and DOC files.Accepted file types: pdf, doc, Max. file size: 256 MB.Notice In compliance with the FAIR CREDIT REPORTING ACT, I have been advised that a credit report may be ordered to check my credit history, bankruptcies, suits and judgments. If accepted for employment, I agree to submit myself for examination by a physician of Rockne’s Restaurant selection as often as may be requested. In consideration of my employment I agree to the rules and regulations of Rockne’s Restaurants employment and compensation can be terminated with or without cause and without notice, at any time, at option of either Rockne’s or myself. I certify that the information contained in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal in accordance with Rockne’s Restaurants policy. I authorize all persons, companies, schools, credit bureaus, and government agencies to supply any information concerning my background, and release all parties from all liability for any damage that may result from furnishing same to you. I also release Rockne’s from all liability from damage arising from this research of my background. I have read and fully understand the above Notice Section. I understand that my application will remain active for 60 days from date received. By submitting this form, you are stating that this information is accurate. The submission of the form is in place of signing. Click the submit button once please. A return email letting you know we received your application will be sent to the email address provided above.By checking this box I confirm that I have read and understand the notice above.(Required) I confirm
