EMPLOYMENT

AVAILABILITY

EMPLOYMENT HISTORY

REFERENCES

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, with exception of contacting my present employer if I have so requested on page two. I have read, understand and agree to the above statement.

I understand that my continued employment will depend upon the successful completion of work assigned to me during a new hire period of up to ninety (90) days and upon my continued successful performance. I have read, understand and agree to the above statement.

While this application will be retained on file for a period of one year (as required by law), I acknowledge that this application will be considered active for a period of sixty (60) days. At that time, I must submit a new application to be considered for any employment openings. I have read, understand and agree to the above statement.

If I should be employed by the Company, I understand that any false, incomplete, or misleading information given on this application or during an interview shall result in immediate discharge.

I have read, understand and agree to the above statement. I authorize an inquiry into my background by all persons, schools, companies, corporations, credit bureaus, law enforcement agencies, doctors and other consumer reporting agencies to supply information concerning my previous employment, education, credit, driving record, etc. I have read, understand and agree to the above statement.

I authorize the references listed above to give representatives of GB Fish & Chips. any and all information concerning my previous or current employment and any pertinent information they may have, personal or otherwise, and release all parties form any and all liability from any damage that may result.

GB Fish & Chips is an Equal Opportunity Employer. GB Fish & Chips. does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employments on a bases prohibited by local, state or federal law.