Silver Fox Employment Opportunities

Address*

Phone Number*


Email*

Desired employment location for Silver Fox *
RichardsonFort Worth

Have you ever used another name for work or school? *
YesNo

Have you been employed by Silver Fox, or CRO Restaurants, before? *
YesNo

Are you 18 or older? *
YesNo

Are there any days or time periods you are unavailable for work? *
YesNo

How many hours are you regularly available for work each week? *

Date you are available to begin work? *

Position(s) you are applying for? *

Type ANY if you would like to be considered for multiple positions

How much money do you need to make on a weekly basis? *

Are you willing and available to work flexible hours, which could include nights, weekends, holidays, or overtime? *
YesNo

Do you plan to engage in other work while in our employ? *
YesNo

Please list the place of employment and describe the work as well as the hours: *

Do you have reliable transportation to work? *
YesNo

Have you ever been fired? *
YesNo

Do you have any relatives and/or roommates that work for the "Company?" *
YesNo

Education

High School Attended (Name, City, State) *

Did you graduate? *
YesNo

College/Trade School Attended (Name, City, State) *

Did you graduate? *
YesNo

Employment Information/History
Please provide your complete work history for the preceding three employees with the most recent first. List full-time and/or part-time, including military, if applicable.

How many previous or current jobs would you like to include for employment history? *
—Please choose an option—01234

Are you currently employed? *
YesNo

May we contact your current employer? *
YesNo

PLEASE READ CAREFULLY & E-SIGN BELOW

I understand that I will not be considered an applicant unless my application is fully completed, signed and submitted in accordance with the instructions. For the purpose of this certification, the term “application” includes this employment application form, which includes an agreement to arbitrate, and any supplemental questionnaire, exhibit, resume, or biographical sheet that I submit, and any interview. I certify that all information given to the “Company” and on this application is true, correct, and complete. I have accounted for all of my work experience, training, and other information requested on this application. I have not withheld any fact or circumstance that is covered by this application. I understand that any false, misleading or incomplete information may result in rejection of my application or termination of my employment whenever discovered. I also understand that this application contains an arbitration clause, which requires covered disputes be decided in arbitration and not by way of court or jury trial. By signing below, I understand and agree to arbitrate covered claims pursuant to the arbitration clause.

I authorize the “Company” to: (1) contact any of my previous employers (except my current employer if noted) as well as any reference source to verify the facts and information that I have furnished; (2) obtain information from law enforcement and other governmental agencies, military authorities, and private companies concerning my conduct, including traffic and criminal convictions; (3) obtain information from educational institutions concerning my educational record, conduct and skills; and (4) obtain information directly from other sources.

I authorize any person(s) or entities having knowledge to provide information to the “Company”, and release from liability and agree to hold harmless any person or entity who furnishes such information. I release the “Company” and all of its agents from all liability for making such inquiries.

If I am employed, I agree to abide by the “Company’s” rules, procedures, and policies, as modified from time to time, including any drug-free workplace and unlawful harassment policies.

If employed by the “Company”, I understand that I will be an employee “at will” and that either the “Company” or I may terminate at any time, with or without cause, my employment with the “Company.” I understand that no supervisor or manager may alter or amend the above conditions. Any agreement for employment for a specified period of time or any agreement contrary to the foregoing must be in writing and signed by the Chief Executive Officer/President of the “Company.”

ARBITRATION CLAUSE: The “Company” and I mutually agree that, except as provided in this “Arbitration Clause”, any and all claims or disputes (including without limitation, claims for violation of any federal, state or other governmental law, statute, regulation, or ordinance) past, present or future, between me and the Company arising out of or related to this application, my application for employment, and/or to the “Company’s” hiring and selection processes, and/or employment and/or the termination of my employment will be submitted to and will be decided by a single arbitrator through arbitration and not by way of court or jury trial. Expect as provided in this Arbitration Clause, arbitration will be in accordance with the then current Employment Arbitration Rules of the American Arbitration Association (“AAA Rules”), available through the “Company’s” Human Resources Department or via the internet at www.adr.org. Parties are responsible for their own attorney’s fees, subject to any remedies to which that party may later be entitled under applicable law. The location of the arbitration proceeding shall take place in the county where I live, unless each party agrees otherwise. A court of competent

Associate Application Page 2 of 3 July 2017

jurisdiction shall have the authority to enter judgment upon the arbitrator's decision/award. The Federal Arbitration Act (9 U.S.C. § 1 et seq.) applies to this Arbitration Clause.

Excluded from this Arbitration Clause are claims that an applicable federal statute or lawful, enforceable presidential Executive Order states cannot be arbitrated. Regardless of any other terms of this Arbitration Clause, a claim may be brought before and remedies awarded by the Equal Employment Opportunity Commission, the United States Department of Labor, the National Labor Relations Board, the Office of Federal Contract Compliance Programs and law enforcement authorities.

Class Action Waiver: There will be no right or authority for any claim and/or dispute covered under this Arbitration Clause to be brought, heard, or arbitrated as a class and/or collective action, and the Arbitrator will have no authority to hear or arbitrate any such action (“Class Action Waiver”). In any case in which (1) the dispute is filed as a class and/or collective action and (2) there is a final judicial determination that all or part of the Class Action Waiver is unenforceable, the class and/or collective action to that extent must be litigated in a civil court of competent jurisdiction, but the portion of the Class Action Waiver that is enforceable shall be enforced in arbitration. Regardless of anything else in this Arbitration Clause and/or the AAA Rules, the interpretation, applicability, enforceability or formation of the Class Action Waiver may only be determined by a court and not an arbitrator.

I understand that my agreement to this Arbitration Clause in no way guarantees that the “Company” will offer me employment nor does it guarantee continued employment once employed. Notwithstanding any other language in this Application or any other “Company” document or policy, this Arbitration Clause may not be modified, revised or terminated without a writing signed (electronically or otherwise) by both parties. //END OF ARBITRATION CLAUSE

If I am employed, I understand that I will be asked to sign a Federal I-9 form and provide positive proof of my identity and verification of my right to work in the United States. Finally, and except as stated in the Arbitration Clause above, I understand that this is only an application for employment and neither an offer of, nor contract of, employment, and no part of this application shall be construed as an offer of employment or an employment contract.

Signature *

This application shall be considered active for thirty days. After that time, if you wish to re-apply, you may do so.