Application (Central & Northern AL Locations) Employment Application for Greenville, Montgomery, Fultondale, Guntersville and Leeds locations only Submit this form only if you're applying for a position at the following Wintzell's locations: Greenville, Montgomery, Fultondale, Cahaba Heights or Guntersville. We provide equal employment opportunity without regard to race, color, religion, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, national origin, age (40 or older), citizenship, or military obligations. We provide equal employment opportunities for qualified disabled individuals who can perform the essential job duties with or without reasonable accommodation. Applications are accepted only if the Company is seeking to fill an available job. Applications remain active for thirty days. If a new job opening becomes available more than thirty days after the application date, you must reapply.Select Location*Choose a location to apply. Greenville Montgomery Fultondale Guntersville Leeds Position applying for:*Choose only one position, though you may be considered for others based on your experience, interests, and skills. Host/HostessServerBartenderLine CookOyster ShuckerUtility AssistantDishwasherPersonal InformationApplication Date* MM slash DD slash YYYY Social Security Number* Name* First Middle Last Address* Street Address 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 Home TelephoneCell Telephone*Email Address* Are you a U.S. citizen or eligible for employment in the U.S.A under U.S. Immigration Laws?* Yes No Are you over the age of 19?* Yes No Position(s) applied for: Rate of pay expected $Per Have you previously been employed by us? Yes No If yes, where and when? Have you previously applied for a position with us? Yes No If yes, where and when? When are you available to begin work?* Are you currently employed? Yes No If yes, identify your employer. Reason for your interest in this job*Why do you believe Wintzell's should hire you for this job?*If you are scheduled to get off work at 4:00 p.m. and the employee who is scheduled to replace you and begin work at 4:00 p.m. does not show up for his or her shift, what do you do?*What do you consider is more important as far as a restaurant is concerned: courteous service or high quality good food and beverage?*EducationName of High School Inclusive Dates Attended Address Course of Study Select the Last Year Completed 1 2 3 4 Did you graduate? Yes No List Diploma or Degree Name of College Inclusive Dates Attended Address Course of Study Select the Last Year Completed 1 2 3 4 Did you graduate? Yes No List Diploma or Degree Other School (Specify) Inclusive Dates Attended Address Course of Study Last year completed Did you graduate? List Diploma or Degree Military Service RecordHave you been in the U.S. Armed Forces? Yes No If yes, what branch? Dates of Duty: From MM slash DD slash YYYY To MM slash DD slash YYYY Rank at discharge Any Special Training Type of Discharge: Employment History(List present and all past employers, beginning with your most recent.)I. Name Business Type Address Supervisor PhoneDates: From MM slash DD slash YYYY To MM slash DD slash YYYY Rate of Pay: StartingEndingDescribe your job duties:Reason for leaving:II. Name Business Type Address Supervisor PhoneDates: From MM slash DD slash YYYY To MM slash DD slash YYYY Rate of Pay: StartingEndingDescribe your job duties:Reason for leaving:III. Name Type of Business Address Supervisor PhoneDates: From MM slash DD slash YYYY To MM slash DD slash YYYY Rate of Pay: StartingEndingDescribe your job duties:Reason for leaving:May we contact the employers listed above?* Yes No If not, please indicate the employers not to contact and explain the reason:List any other experience or skills you feel would qualify you for the position(s) applied for:Personal References(No former employers or relatives)1. Name and Occupation Address Phone2. Name and Occupation Address Phone3. Name and Occupation Address PhoneAdditional InformationHave you ever been convicted (including a guilty plea or no-contest plea) of a crime (A "yes" answer will not disqualify you from consideration for employment, but may be taken into account depending upon the nature of the crime, the circumstances and the job for which you are applying)?* Yes No If yes, describe the nature of the crime and state where and when you were convicted:Have you ever been disciplined or discharged by an employer for committing a violent act or for threatening a violent act (including but not limited to fighting, bringing a weapon of any kind to work, threatening the use of a weapon of any kind at work or against a co-worker, or engaging in threatening behavior of any kind of work)?* Yes No If yes, explain:Wintzell's restaurants will require you to attend a safe-food handler's class and obtain a food-handler's card. This will be at your expense and is a requirement to be hired. Do you agree to do so?* Yes No Wintzell's proudly offers safe, clean, fun and drug-free working environment. Post-accident drug and alcohol testing may be required and a positive drug or alcohol test or a failure to cooperate in test could result in the termination of your employment and denial of worker's compensation benefits for an on-the-job accident or injury. Would you be willing to undergo a post-accident alcohol and drug test if instructed to do so by the Company?* Yes No AvailabilityWintzell's restaurants generally operate on shifts with employees working on shifts. The first shift is from the opening of the restaurant through 4:00 p.m. and the second shift is from 4:00 p.m. until the restaurant closes. Wintzell's restaurants are open 7 days a week, Monday through Sunday and on most holidays (excluding Christmas Day and Thanksgiving Day). Are there any days or shifts you would be unable to work, including special circumstances or obligations that would prevent you from working at specific times or dates?* Yes No If yes, explain:Applicant's Agreement(Read carefully before signing)I promise that the information I gave in this employment application is true and complete. I understand that the Company may refuse to hire me or, if I am hired by the Company, may discharge me, if I gave false, misleading or incomplete information in this application. I understand that, if I am offered employment by the Company, the Company may require me to obtain and provide complete criminal records background check. I understand that any offer of employment may be conditioned upon the results of criminal background check. Unless I answered "No" to the question with regard to the question, "May we contact the employers listed above," I authorize each person, school and former employer identified in this employment application to provide the Company with any information the Company may request, I authorize the Company to obtain this information. I consent to the release of all such information to the Company, and I release each such person, school or employer from any liability or damage related in any way to the furnishing of such information to the Company. I release the Company and its employees or representatives from any liability or damage related in any way to the Company's solicitation or receipt of such information. I understand that, if I am hired by the Company, my employment is "at-will." I can resign at any time and, the company can terminate my employment for any reason the Company deems sufficient, with or without prior notice. I acknowledge that, no manager, supervisor, employee or other Company representative has made any promises or other representations about my continued employment with the company or about my employment for a particular length of time.Date* MM slash DD slash YYYY Signature of Applicant* PhoneThis field is for validation purposes and should be left unchanged.