EQUAL

Togo’s is OPPORTUNITY
an Equal OpportunityEMPLOYER. It is our policy
Employer, dedicated to abide
to a policy of by all federal, state in
non-discrimination and local laws prohibiting
employment on any basisemployment discrimination
including race,
based age,
color, solely onmarital
sex, a person's race,
status, color,national
religion, religious creed,
origin sex, national
or ancestry, origin, ancestry,
the presence citizenship
of a mental, physicalstatus, pregnancy,
or sensory childbirth,
disability, medical physical
disability, genetic
condition, mental information,
and/or intellectual
sexual disability,
orientation,age, military
or any otherstatus, veteran status
basis prohibited (including
by Federal, protected
State veterans),
or Provincial marital
law. The status, registered
applicant
understands and agrees
domestic partner or civilthat he/she,
union if hired,
status, will not
familial be employed
status, by Togo’s sex
gender (including Franchisor, LLC, and
stereotyping Togo’s Eateries,
gender Inc., or
identity or expression),
Togo’s medical
Franchised Eateries, LLC
condition (including, but(“Franchisor”),
not limited to,but by related or HIV/AIDS related), genetic
cancer , a franchisee, and that
information, he/she
sexual will not have
orientation, or any other
any kind ofstatus
protected employment relationship
except where with thebona
a reasonable, Franchisor.
fide occupational qualification exists.

Employment Application - Please complete entire application to ensure processing

APPLICANT INFORMATION

Full Name: Date:

Last First M.I.

Address:
Street Address Apartment/Unit #

City State Zip Code

Phone: ( ) Email Address:

Date Available: Desired Salary: $ Position Desired:

Specify hours available for each Sunday Monday Tuesday Wednesday Thursday Friday Saturday
day of the week

How many hours would you like to work each week?

Are you 18 years of age or older? If under 18 years of age, please provide your birth date here: ___/__/__ YES NO

Have you ever been convicted of any criminal offense? YES NO

Note: You need not identify convictions that have been sealed, expunged, dismissed or otherwise eradicated by statute or court order, any conviction for a
marijuana offense if the conviction is more than two years old, or any information pertaining to referral to and participation in any pre-trial or post-trial
diversion program. Such conviction may be relevant if job-related, but does not necessarily bar you from employment.
If yes, please explain: __________________________________________________________________________________________________________

Have you ever worked for Togo’s? YES NO If so, when? Which restaurant?

Do you have any friends/relatives YES NO If so, their name and which restaurant?
employed by our company?

GENERAL
List any skills relevant to the position for which you are applying.

EDUCATION
High School: Address:

From: To: Did you graduate? YES NO Degree:

College: Address:

From: To: Did you graduate? YES NO Degree:

Other: Address:

From: To: Did you graduate? YES NO Degree:

PREVIOUS EMPLOYMENT (List current and last 3 employers starting with most recent. Please include any non-paid/volunteer experience
that is related to the job for which you are applying. Please complete even if resume is attached.)

Company: Phone: ( )

Address: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $

From: To: Reason for Leaving: May we contact? YES NO

Responsibilities:

Company: Phone: ( )

Address: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $

From: To: Reason for Leaving: May we contact? YES NO

Responsibilities:

Company: Phone: ( )

Address: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $

From: To: Reason for Leaving: May we contact? YES NO

Responsibilities:

REFERENCES (Please list three professional references which you have known at least one year)
Name Address & Phone Business Years Acquainted

DISCLAIMERS & SIGNATURES (PLEASE READ CAREFULLY, INITIAL EACH PARAGRAPH, AND SIGN BELOW)

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the
answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally
completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to
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secure employment shall be grounds for rejection of the application or for immediate discharge if I am employed, regardless of the time
elapsed before discovery.
I hereby authorize thorough investigation of my references, work record, education, and other matters related to my suitability for
employment, and further, authorize the references I have listed to disclose to the company all letters, reports, and other information related to
my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers, and all
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other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related
to such investigation or disclosure.
I understand that nothing contained in the application, or conveyed during an interview that may be granted or during my employment, if
hired, is intended to create an employment contract between the company and me. In addition, I understand and agree that if I am employed,
my employment is for no definite or determinable period and may be terminated ay any time, with or without prior notice, at the option of
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either myself or the company, and that no promises or representations contrary to the foregoing and binding on the company unless made in
writing and signed by me and the company representative.
Should personnel employed by the company conduct a search of public records, I am entitled to copies of any such public records obtained by
the company. If a background check is performed, the company will comply with all federal and state background check notice and
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disclosure procedures and the company recognizes that this application is not by itself sufficient for full compliance with these laws.
Signature: Date: