EMPLOYMENT APPLICATION Prefer to apply in person? Download & Print We are an E-Verify employer. ~ APPLY BY FILLING OUT THE FORM BELOW ~ All required fields are indicated with an * Name* First Last Date* MM slash DD slash YYYY Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Who were you referred by? Location Where You'd Like To Apply*Dayton (Airport), OHDetroit (Airport), MIEdinburgh, INErie, PALancaster, OHMiddleburg Heights, OHMonroeville, PAHave you worked for Glacier Restaurant Group before?*(please mark all that apply) Craggy Range Ciao Mambo Latitude 48 MacKenzie River Max & Erma's I have not worked for Glacier Restaurant Group in the past. What position are you applying for?*(please mark all that apply) Host Bus Server Kitchen Dish Bar Mangement Date available to start working with us:* MM slash DD slash YYYY Are you under 18?* Yes No Are you legally eligible for employment in this country?* Yes No How many shifts per week would you like to work?* Availability*(please mark all that apply) Sunday - day Sunday - night Monday - day Monday - night Tuesday - day Tuesday - night Wednesday - day Wednesday - night Thursday - day Thursday - night Friday - day Friday - night Saturday - day Saturday - night What current or future obligations affect your ability to work (other commitments, another job, school, sports, vacations, etc)?*May we contact your current employer?* Yes No Not Currently Employed Please list your latest three employers (most recent first). Do not write “see resume.”*Please list: Employer, Contact Name, Phone Number, Position Held, Dates of Employment & Reason for Leaving for each EmployerApplicant Declaration & Signature*Applicant Declaration (Type in Your Name)* I expressly authorize Max & Erma's and/or its representatives to contact my previous employers or other persons to verify and obtain any information concerning me. I certify that the information I have provided is true. I understand that providing misleading or false information may exclude me from hire, or if hired, may result in my discharge. I understand that completion of this application does not guarantee an interview or employment. I understand that Max & Erma's is an Equal Opportunity Employer, and that the information contained in this application will not be used to discriminate against me on any basis prohibited by law. Max & Erma's is an E-Verify employer.