• Employment Application

  • Employment Desired

  • Personal Information

    (If under 18, hire is subject to verification that you are of minimum legal age.)
  • (Note: We comply with ADA and consider reasonable accommodation measures that may be necessary for eligible applications/employees to perform essential functions. Hire may be subject to passing a medical examination, drug screen, and skill and agility tests.)
  • Education, Training, and Experience

  • High School

  • College/University

  • Vocational

  • Business

  • Employment/Work Experience

    Please list below all present and past employment for the last 10 years, starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume.



  • NameAddressTelephone 

  • I authorize all corporations, companies, credit agencies, state motor vehicle departments, financial institutions, educational institutions, medical facilities, persons, references, law enforcement agencies, present and former employers and military services to release all written and verbal information about me to Habit Burger Grill, its affiliates and its background verification contractor, SafeCare Information Services. I release these entities and Habit Burger Grill from any liability and responsibility for releasing, collecting and reporting information about me. I authorize the procurement of an investigative consumer report and understand that it may contain information about my character, general reputation, personal characteristics, and mode of living, whichever are applicable. I understand that I have the right to make a written request within a reasonable period of time to SafeCare Information Services for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation. I further understand that SafeCare Information Services reporting of information pursuant to the Fair Credit Reporting Act is not intended to authorize or condone a prospective employer’s, franchisor’s, landlord’s or appointer’s request for and reliance upon information for purposes which are not legitimate under the Fair Credit Reporting Act for any Federal or State laws. I further authorize SafeCare Information Services to disclose information collected about me to a prospective employer, franchisor, landlord or companies for the purpose of evaluating me for employment, insurance appointments, franchising or tenancy. This authorization, in original or copy form shall be valid for this and any future report that may be requested. I understand that the purpose of this application is for information only, and is no way binding upon either Habit Burger Grill, its affiliates, or myself, nor does it imply that there is any legal or commercial relationship between either party. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive any offer or, if I am hired, my immediate dismissal from employment.

    In consideration of my employment, I agree to conform to the rules and standards of the Company, as set forth in the Company’s Employee Manual or otherwise posted, as may be amended from time to time by the Company without any prior notice to or the consent of the undersigned applicant. I further agree that my employment and compensation can be terminated at will, with or without cause, and that no employee or representative of the Company, other than its President, has the authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to the foregoing. Further, the President of the Company may not alter the at-will nature of the employment relationship unless the President and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are no oral or collateral agreements regarding this issue.

    I also understand that all offers of employment are conditioned on the provision of satisfactory proof of an applicant’s identity and legal authority to work in the United States, as well as the satisfactory completion of a pre-employment drug screening and post-offer medical examination.