Welcome to Miracle Restaurant Group!

Management | Hourly | Benefits
Training | Employee Referral Program | Drug & Alcohol Policy

Personal Information
Name (Last, First, Middle):
Address (Street, City, ST, Zip Code):
Telephone No.:
Email:
Soc. Sec. No.:
Applying For:	Manager
Hours Available:	Full-time
Indicate when you are available to work:	Days Nights
Have you been employed by Arby's previously?
Minimum Salary Expected:
Person to notify in case of an emergency (Name, Address, Phone No.):
Have you ever pleaded guilty or been convicted of a crime excluding minor traffic violations? (If yes, explain):

Education:
List All Schools Attended

School 1
Name of School:
Address of School:
Graduated:
Type of Degree or Highest Grade Completed:

School 2
Name of School:
Address of School:
Graduated:
Type of Degree or Highest Grade Completed:

School 3
Name of School:
Address of School:
Graduated:
Type of Degree or Highest Grade Completed:

References:

Reference 1
Name:
Phone No.:
Years Known:

Reference 2
Name:
Phone No.:
Years Known:

Reference 3
Name:
Phone No.:
Years Known:

Employment References:

May we contact your present employer?

Employer 1
Company:
Supervisor:
Dates:	From: / /
	To: / /
City/Location:
State:
Phone:	( )
Last Rate of Pay:
Reason For Leaving:	Resigned with Notice Resigned without Notice Terminated
Eligible for Re-Hire?

Employer 2
Company
Supervisor:
Dates:	From: / /
	To: / /
City/Location:
State:
Phone:	( )
Last Rate of Pay:
Reason For Leaving:	Resigned with Notice Resigned without Notice Terminated
Eligible for Re-Hire?

Employer 3
Company
Supervisor:
Dates:	From: / /
	To: / /
City/Location:
State:
Phone:	( )
Last Rate of Pay:
Reason For Leaving:	Resigned with Notice Resigned without Notice Terminated
Eligible for Re-Hire?

If there is not an immediate opening at this location would you be willing to work at another Arby's location?

I hereby agree that any former employer may release any information to Miracle Restaurant Group regarding my work performance, including all information in my personnel file. I also agree that any reference source may furnish information regarding character, general reputation and personal traits. I release from liability and agree to hold said former employer/reference source harmless from any information provided to Miracle Restaurant Group.

The Civil Rights Act of 1964 (P.L. 90-202) and the American Disabilities Act of 1990 (P.L. 101-336) prohibit discrimination in employment practice because of race, color, religion, sex, national origin or disability. P.L. 90-202 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age. The laws of some states also prohibit some or all of the above types of discrimination. It is our policy to comply fully with these Acts, and information requested on this application will not be used for any purpose prohibited by law.

I declare that I am physically able with or without accommodations to steadily perform all the duties of the position I am seeking. I also declare that the information I have provided on this application is correct and that any false statements or omissions would justify my dismissal or rejection.

I understand that, if hired, my employment will be at-will, for no fixed time and may be terminated with or without cause by myself or Miracle Restaurant Group at any time. I understand that at no time may any employee of Miracle Restaurant Group bind my employment by oral or printed statement.

Should I become involved in a claim for Worker's Compensation, or any other litigation, I will allow Miracle Restaurant Group to supply my employment records to the appropriate party.

I have read the above conditions of employment. I understand them and agree to be bound by them while employed at Miracle Restaurant Group.

Eligibility for employment in the United States must be provided to Miracle Restaurant Group should you be accepted for the position for which you have applied. You must be able to provide one of the following:

A state-issued driver's license or a state-issued I.D. card with photograph or information including name, sex, date of birth, height, weight and eye color
U.S. military card
Any other authorized document that establishes identity, i.e., voter registration card, Native American tribal documents, United States Coast Guard Merchant Mariner Card, identification card issued by federal, state or local government agencies.

You must also be able to provide one of the following:

Original Social Security Number card that is valid for employment
A birth certificate issued by state, county or municipal authority bearing a seal or other certification.
Unexpired INS employment authorization.

U.S. Passport
Certificate of Naturalization
Unexpired foreign passport with attached
Certificate of U.S. citizenship
Alien Registration Card with Photo employment authorization

By checking this box, you agree to the terms listed above.

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