Employment Application – Robinson Hill

What position are you applying for?*

Which location(s) are you interested in?

Ben & Jerry's (Navy Pier)

Einstein Bros Bagels (Burr Ridge)

Einstein Bros Bagels (Hyde Park)

Einstein Bros Bagels (Maywood)

Lalo's Mexican Restaurant (Navy Pier)

Lebanese Taverna Express (Washington, DC)

Robinson Hill Corporate Office (Chicago, IL)

Salary Expectations:*

What date can you start? (MM-DD-YYYY)*

Have you ever worked for Robinson Hill?*

Yes

If yes, when? (MM-DD-YYYY)

Which location?

2/7

High School:

Did you graduate from high school?:

Yes

College:

Did you graduate from college?:

Yes

Other:

Did you graduate?

Yes

List skills relevant to the position applied for:

3/7

Current Employer (Name & Address):

Current Position:

Starting Salary:

Ending Salary:

Start Date:

day

month

year

End Date:

day

month

year

Reason For Leaving:

Duties Performed:

Supervisor's Name:

Supervisor Phone:

Area Code

Phone Number

May we Contact?:

Yes

Previous Employer (Name & Address):

Position (Previous Employer):

Starting Salary (Previous Employer):

Ending Salary (Previous Employer):

Start Date (Previous Employer):

day

month

year

End Date (Previous Employer):

day

month

year

Reason For Leaving (Previous Employer):

Duties Performed (Previous Employer):

Supervisor's Name (Previous Employer):

Supervisor Phone (Previous Employer)

Area Code

Phone Number

May we Contact? (Previous Employer)

Yes

Previous Employer #2 (Name & Address):

Position (Previous Employer #2)

Starting Salary (Previous Employer #2)

Ending Salary (Previous Employer #2):

Start Date (Previous Employer #2):

day

month

year

End Date (Previous Employer #2):

day

month

year

Reason For Leaving (Previous Employer #2):

Duties Performed (Previous Employer #2):

Supervisor's Name (Previous Employer #2):

Supervisor Phone (Previous Employer #2):

Area Code

Phone Number

May we Contact? (Previous Employer #2):

Yes

4/7

Reference #1 Name:

First

Last

Reference #1 Phone:

Area Code

Phone Number

Reference #1 Name of Business:

Reference #1 Years Acquainted:

Reference #2 Name:

First

Last

Reference #2 Phone:

Area Code

Phone Number

Reference #2 Name of Business:

Reference #2 Years Acquainted:

Reference #3 Name:

First

Last

Reference #3 Phone:

Area Code

Phone Number

Reference #3 Name of Business:

Reference #3 Years Acquainted:

5/7

Please indicate your availability, specify hours available for each day of the week.

Monday:*

Tuesday:*

Wednesday:*

Thursday:*

Friday:*

Saturday:*

Sunday:*

Referral Source / How did you hear about Robinson Hill? *

Why would you like to work at Robinson Hill?

Have you ever visited Robinson Hill locations? If so, where? Describe your experience.

Describe a specific situation where you have provided or received excellent customer service.

Do you enjoy working with people, or do you prefer to work alone? Why?

What do you like to do in your spare time?

6/7

By signing this application, I promise that the following information in this employment application (and accompanying resume or documentation, if any) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date. I agree to immediately notify Robinson Hill if I should be convicted of a felony, any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse or violence, while my job application is pending or during my period of employment, if hired.

I authorize Robinson Hill, the company I am applying to work with, to investigate any of the information contained on this application, including the examination of past employment, records, references, and other facts stated on this application. I waive any right I may have to be notified by any of the individuals and organizations named in this application prior to the release of any information to Robinson Hill. I further authorize all individuals and organizations named in this application to provide Robinson Hill all information relative to such verification. I hereby release such individuals and organizations and Robinson Hill from any and all liability for any claim or damage resulting therefrom.

I understand that neither this application nor anything conveyed during the interview process, if granted, is intended to create a contract of employment. I understand that, if hired, I am obliged to comply with any and all current and subsequently adopted Robinson Hill policies. I understand and agree that, if hired, my employment is at-will, meaning that it is for no definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time for any reason, with or without notice. I understand that no person is authorized to change any of the terms mentioned in this employment application and that no manager or representative of the Company, other than Robinson Hill President or Ownership, have any authority to enter into an agreement with me for employment for a specified period of time. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by the Company's President or Ownership.

I also understand that as a condition of employment, if hired, I will be required to provide evidence of identity and employment eligibility in the United States.

I understand that as a part of my application for employment, I must sign a release of information authorization. This is to allow the Company to verify my references and, in the Company's discretion, to perform other background investigations to determine my qualification for employment. The Company may investigate my academic credentials, prior employment, personal/professional references, credit record, motor vehicle record and/or criminal record.

Date (MM-DD-YYYY):*

Electronic Signature:*

First

Last

Word Verification:

7/7