ARE YOU AT LEAST 18 YEARS OF AGE OR OLDER?

If not, Do you have a work permit

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?

(Proof of identity and U.S. citizenship or immigration status will be required, if hired)

ARE YOU CURRENTLY EMPLOYED?

IF SO, MAY WE CONTACT YOUR CURRENT EMPLOYER?

HAVE YOU EVER BEEN TERMINATED OR ASKED TO RESIGN FROM ANOTHER JOB?

HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE?

If so

HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE?

If so

DO YOU HAVE ANY FRIENDS OR RELATIVES WORKING AT VICTORS MEXICAN GRILL?

If so

ARE YOU WILLING TO SUBMIT TO A BACKGROUND CHECK AND DRUG TEST AS A CONDITION
OF EMPLOYMENT?

THIS JOB MAY REQUIRE STANDING FOR LONG PERIODS OF TIME, LIFTING UP TO 50 LBS, REPETITIVE HAND/ARM MOTIONS, AND THE SERVING AND HANDLING OF FOOD AND EQUIPMENT IN A SANITARY AND HEALTHY MANNER. IS THERE ANY REASON WHY YOU CANNOT PERFORM THESE ESSENTIAL JOB FUNCTIONS?

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR SUBJECTED TO A DEFERRED ADJUDICATION ON A FELONY CHARGE?

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered to be false or omitted, may result in my immediate termination.

I authorize investigation of all statements contained herein and the references, schools and employers listed above to give you any information concerning my previous employment and pertinent information they may have, personal or otherwise, and release them and from any damage that may result from utilization of such information.

I also understand and agree that no representative of Victor's Mexican Grill has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized Victor's Mexican Grill representative. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Victor's Mexican Grill at any time without prior notice for any reason. I also understand that Victor's Mexican Grill retains the right to demote, transfer, change job duties, and change compensation at any time. I understand that if hired, this statement is part of the employment agreement between Victor's Mexican Grill and me, and will be binding upon me.

Victor's Mexican Grill is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other basis prohibited by federal, state or provincial law.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws.

Victor's Mexican Grill maintains a strict policy against the use of unlawful drugs and alcohol. All job applicants who receive offers ofemployment with the company must submit to and pass a drug screening test. All offers of employment are conditioned upon the successful completion of the testing procedure.