EMPLOYMENT APPLICATION

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1 EMPLOYMENT APPLICATION Piggie Park Enterprises, Inc Charleston Highway West Columbia, South Carolina CORPORATE DIVISIONS RESTAURANTS FLYING PIG MAIL ORDER CATERING GOURMET BARBEQUE SAUCE Bring this Completed Application Monday-Friday, 9 am to 4 pm to our Corporate Headquarters for job consideration and an initial interview. FOR OFFICE USE ONLY ACCEPTED FOR EMPLOYMENT: YES NO FIRST DAY OF WORK: TIME APPLICANT IS TO REPORT: STARTING WAGE: APPLICANT S NAME: APPROVED BY: LOCATION:

2 What s your Interest in Maurice s BBQ? Position applied for: Cashier Cook Manager Plant Prep Plant Driver Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status or military status, or presence of a non-job related medical condition. Personal Information Last Name Middle Initial First Name Street Address City State Zip Home Phone Number Cell Phone Number Where and When are you available to work? Times AM Shifts PM Shifts Any Monday Tuesday Wednesday Thursday Friday Saturday Sunday Which store location(s) would you like to work at? Date of Availability

3 Employment Experience Start with your present or most recent employer Employer #1 Phone Number Address Supervisor Name Your Position Employed from to Work Performed Reason for leaving Employer #2 Phone Number Address Supervisor Name Your Position Employed from to Work Performed Reason for leaving Additional Questions Please write a brief statement outlining the reasons you would like to work for Piggie Park Enterprises, Inc. Indicate how these reasons would contribute to your success with Piggie Park Enterprises, Inc. Authorization for Release of Personal Information The undersigned certifies that the information given herein is true and correct. I authorize Piggie Park Enterprises, Inc., or its agent, to verify any and all information submitted and to make any additional checks or background checks which it deems necessary or advisable. I understand that false or misleading information given in my application or interview(s) will result in discharge. I understand that this application does NOT create a contract of employment. I understand that I am required to abide by all rules and regulations of Piggie Park Enterprises. Applicant Signature: Date:

4 Release & Authorization for Background & Reference Investigation As part of its employment screening and selection procedures, the EMPLOYER or potential employer, named below, requires a background investigation and a check of references. Such investigation and checks may require the submission to the EMPLOYER of information about the applicant s social security number (SSN), date of birth (DOB) and driver s license number. I, hereby give the EMPLOYER and/or its designees permission and authority to conduct a background investigation and reference checks concerning my past and current activities. I agree and consent to any investigation the EMPLOYER and/or its designees may make including, but not limited to, information as to my personal character, general reputation, former employment, education, credit history, driving record, social security wage information, criminal history and other information contained in public records or obtainable from former employers or other references, business or personal. I hereby authorize and request any former employers, personal references, schools, police and court personnel, credit agencies and any other person to furnish to EMPLOYER and/or its designees any information concerning my work habits, reasons for termination, eligibility for rehire, salary information, character and reputation information, criminal history, driving records, credit history or any other relevant information requested by EMPLOYER and/or its designees. I hereby release all persons, companies, corporations or individuals from all liability and responsibility that may result from providing EMPLOYER and/or its designees the information set out herein. I am aware that the result of any background investigation performed by EMPLOYER and/or its designees is not the sole criteria used by the EMPLOYER in making a decision to hire or not hire any individual, including me. I am also aware that any falsification or misrepresentation of information appearing on my application for employment shall be grounds for my not being hired or for my being terminated. EMPLOYER / POTENTIAL EMPLOYER: Piggie Park Enterprises, Inc. (DBA: Maurice s BBQ) Applicant / Employee Name: Social Security Number: - - Date of Birth: Driver s License Number: State of Issue: Current Address: Date: Signature of Applicant:

5 Drug Testing Our company has a drug free environment. You may be drug tested at random. If you test positive you will be dismissed. If you are not on drugs now and never intend to take them, then you have nothing to worry about and WE WANT YOU! By signing below I certify that I am drug free, have been drug free for the past twelve (12) months, and will consent to a preliminary drug test and random drug tests thereafter. (Signature) (Date) (Printed Name) ADDRESS: CITY: STATE: ZIP: SOCIAL SECURITY #: - -

6 Drug Testing & SLED Report (Authorization) DATE: EMPLOYEE: SOCIAL SECURITY #: - - ADDRESS: CITY: STATE: ZIP: THIS SECTION TO BE COMPLETED BY OFFICE PERSONNEL If for some reason the co payroll deduction for the following to be done: Drug Test: I understand that I will be accompanied by a representative of Piggie Park Enterprises, Inc. to have this test performed. SLED Report: This will be retrieved by an authorized Piggie Park Enterprises, Inc. representative online or in person. Background Check. Management Applicants Only. EMPLOYEE SIGNATURE: DATE: EMPLOYEE PRINT NAME: DATE:

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8 I understand and state: 1. That the information on this application is true to the best of my knowledge and that any misstatement is grounds for dismissal and liability. 2. That I authorize Piggie Park Enterprises, Inc. to contact my former employers or other references for reference checks. 3. If separated from this company for any reason and I have possession of company property, Piggie Park Enterprises, Inc. will withhold from my last paycheck the value of the property. In case of keys not immediately returned, Piggie Park Enterprises, Inc. will deduct the replacement costs of the locks. In the case of indebtedness to the company, Piggie Park Enterprises, Inc. will withhold the value of the indebtedness. 4. If I handle the cash register, I understand that I am responsible for all register shortages. The shortage may or may not be reimbursed. 5. I understand that the misrepresentation of, or omission of facts called for on this application is cause for cancellation of the application and/or separation from the company s service, if I have been employed. 6. As an employee of Piggie Park Enterprises, Inc., I fully understand that all training techniques, procedures, recipes, formulas and any and all information pertaining to the operation of Piggie Park Enterprises, Inc. or its subsidiaries is the sole property of Piggie Park Enterprises, Inc., and shall be considered wholly proprietary thereto. Further, I pledge not to discuss or divulge any such proprietary information or knowledge that may compromise or in any way harm Piggie Park Enterprises, Inc., with any party or individual either during or following my Employment with Piggie Park Enterprises, Inc. 7. I understand my continued employment with Piggie Park Enterprises, Inc. if hired is based on successfully completing a 120 day probationary period. 8. If I do not submit a 2 week notice prior to leaving my employment with Piggie Park Enterprises, Inc. and fail to work my scheduled hours during the notice period, I understand that I will make minimum wage for all hours worked on my last paycheck. Nothing in this employment application and statement can be construed as a contract. The policies contained therein are merely guidelines. Both Piggie Park Enterprises, Inc. and the employee have the right to terminate the employment relationship at any time, with or without cause. In the consideration of my employment, I agree to conform to the policies and procedures of the company. Signature Date Piggie Park Enterprises, Inc. will not use the information on this application to discriminate against any individual with respect to their compensation, terms, conditions or privileges of employment because of race, color, religion, sex, age, national origin, or disability. Copyright 2012 Piggie Park Enterprises, Inc. All Rights Reserved. Revised 9/24/2012