We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment
on any basis including race, creed, color, age, sex, religion, national origin or physical disability.

If you would like to learn more about our outstanding Employee Benefits, click here.

Which restaurant are you applying to?
Red Fish Grill BACCO Ralph's on the Park Ralph Brennan's Jazz Kitchen®
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Personal Information
Date:
Full Name:
First:
Full Name:
Last:
Full Name:
Middle:
Present Address:
Street, City, State, Zip
Permanent Address:
Street, City, State, Zip
Phone No.
Name and Department of Any Relatives Currently Employed by this Company.
Referred By

Employment Desired
Position:
If you are applying for a server or bartending position, do you currently have a Louisiana Alcohol Servers Permit? Yes | No
Date you can start:
Salary Desired: $
Are you employed now? Yes | No
If so may we inquire of your present employer Yes | No
Ever Applied to this company Before? Yes | No
Where:
When:

Education
School
Name and Location of School
Year Completed Graduate? Degree or Major
High School 1 | 2
3 | 4
Yes
No
College 1 | 2
3 | 4
Yes
No
Trade, Business or Correspondence School 1 | 2
3 | 4
Yes
No

Miscellaneous
Have you ever been convicted of a felony? Yes | No
If yes, explain briefly:
Do you have the right to work in the United States Yes | No
If you are not a U.S. national, what is your green card Number

Employers (List the Last 4 below, starting with the most recent)

Present Employer
Date Started From:
Date Currently To:
Employer's Name:
Employer's Address:
Supervisor's Name
Job or jobs held:
Hourly or weekly salary: $
Reason for leaving:

Next Employer
Date Started From:
Date Currently To:
Employer's Name:
Employer's Address:
Supervisor's Name
Job or jobs held:
Hourly or weekly salary: $
Reason for leaving:

Next Employer
Date Started From:
Date Currently To:
Employer's Name:
Employer's Address:
Supervisor's Name
Job or jobs held:
Hourly or weekly salary: $
Reason for leaving:

Next Employer
Date Started From:
Date Currently To:
Employer's Name:
Employer's Address:
Supervisor's Name
Job or jobs held:
Hourly or weekly salary: $
Reason for leaving:



By submitting this form you agree to the following: I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. Furthermore, if employed and in consideration of my employment, I agree to conform to the rules and regulations of the company. My employment may be terminated with or without cause and with or without notice at any time at the option of either the company or myself. I acknowledge that I am an at-will employee. I understand that no management representative has any authority to enter into any agreement of employment for any specified period or to make any agreement or contract with me except the owner. Any agreement between the owner and myself must be in writing.

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Copyright©1996,2008 The Ralph Brennan Restaurant Group, Inc.