Job Application – Lemongrass

Fields marked with an asterisk (*) must be filled out before submitting.

Name *
Cell phone *
Email Address *
Are you 18 or older?	Yes No
Are you legally eligible for employment in the U.S.A? (if yes, verification will be required) *	Yes No
Do you have a reliable way of transportation?	Yes No

(10:30AM – 5:00PM) *	Sunday Monday Tuesday Wednesday Thursday Friday Saturday
(5:00PM – 10:00PM) *	Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Are you capable of performing the essential functions of the job for which you have applied, with/without reasonable accommodation?	Yes No
Have you ever been convicted of violating any law (except minor traffic violations)?*	Yes No
If YES, Please attach a summary of details, Including the nature of the crime, the type of conviction, the date of conviction. Disclosure of a criminal record does not automatically disqualify you from employment consideration. Rather, the company will consider all information provided.
(1) I certify that the information contained in the application is correct to the best of my knowledge and understand that any omission or erroneous information is grounds for dismissal. (2) I authorize the references listed above to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing this information to you. (3) I acknowledge that, if I become employed. I will be free to terminate my employment at any time for any reason and Lemongrass Grill retains the same rights.This application does not establish an employment contract. I understand that, if hired, I must comply with all policies. *	By clicking this checkbox you agree to the statements.