EmailMe Form - Full Throttle Saloon & Pappy Hoel Campground

Application Number ID

Please attach a picture to your application. You must provide a clear picture or pictures of yourself to apply *

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When can you start? *

MM / DD / YYYY

Full Name *

First Middle Last

Full Name on your ID

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Home Phone *

### - ### - ####

Mobile Phone *

### - ### - ####

Email *

Have you worked for us in the past *

yes

no

yes when and position?

Why do you want to work for Full Throttle Saloon, list any special skills you may have or experience. *

Positions you are applying for and/or Positions you are willing to work: *

Positions Applying For

Times available for work

Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday

Please fill out each day's times you can work

Education please select highest grade completed *

College, Academic Honors, or Special reconition of anykind *

Are you a citizen of the United States *

Yes

No

If not a citizen, can you furnish proof of eligibility to work in the United States *

Yes

no

N/a

Employement Experience

Fill out carefully. Begin with present or last job held and work back, regardless of the time worked. Use additional sheet if necessary. If
you were sick, attending school, out of work, so state giving dates. DO NOT SKIP ANY DATES. ACCOUNT FOR ALL TIMES. THIS
INFORMATION WILL BE CLOSELY CHECKED. All information must be included, even if you are attaching a resume.

Latest or Current Employer (Please be complete, Employer, address, telephone number, job title, work performed hourly rate) *

Employer #2 (Please be complete, Employer, address, telephone number, job title, work performed hourly rate) *

Employer #3 (Please be complete, Employer, address, telephone number, job title, work performed hourly rate) *

REFERENCES

Give name, address and telephone number of three references who are not related to you: (ALL INFORMATION MUST BE
PROVIDED)

Please provide 3 references complete with name, phone number, address, and years known. *

Security

Have you ever taken any merchandise, money or property from an employer? *

yes

no

yes please explain

In the past five (5) years have you been convicted of a felony? NOTE: A conviction record will not necessarily be a bar to employment. Applicants with a sealed record on file can answer ‘no record’ to any inquiries about criminal charges. *

yes

no

yes please explain

Please Read:
YOU MUST BE 21 YEARS OF AGE TO WORK AT FULL THROTTLE SALOON & CAMPGROUND, LLC.. TWO I.D.‘S ARE REQUIRED. ATTACH COPY OF DRIVERS LICENSE (PICTURE I.D. REQUIRED) AND ONE OTHER I.D. THAT CARRYS THE SAME NAME AS THE DRIVERS LICENSE. SOCIAL SECURITY CARDS, BIRTHCIRTIFICATES AND PASSPORTS ARE A ACCEPTED, HOWEVER, SCHOOL, WORK AND BANK IDENTIFICATION CARDS ARE NOT.

Picture of your Drivers Lic. *

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Picture of 2nd ID (2 forms are needed) *

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NOTE:
Read carefully before signing. I certify that the statements and information furnished by me in this application are true and correct and I understand that falsification of such statements and information is grounds for dismissal at any time that Full Throttle Saloon & Campground, LLC becomes aware of the falsified information. In consideration of my working at Full Throttle Saloon & Campground, LLC, I agree to conform to the rules and regulations of Full Throttle Saloon & Campground, LLC and acknowledge that my work and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of Full Throttle Saloon & Campground, LLC or myself. As allowed by law, I also agree to submit to random drug tests and other investigative interviews, methods of tests conducted by Full Throttle Saloon & Campground, LLC and I understand that the results of such tests may be used as evidence in legal or administrative proceedings and may also be used in considering my status for continued employment and as a basis for rejecting my application or terminating my employment. I agree and hereby authorize Full Throttle Saloon & Campground, LLC to conduct a background inquiry to verify the information on this application and any forms by Full Throttle Saloon & Campground, LLC completed by me. I authorize all previous employers or other persons who have knowledge of me or my records to release such information to Full Throttle Saloon & Campground, LLC or its agents. I hereby release those companies and persons and Full Throttle Saloon & Campground, LLC from all claims or liabilities whatever that may arise by such disclosures or such investigation. I CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND COMPLETE AND IS SUBJECT TO CONFIRMATION BY FULL THROTTLE SALOON & CAMPGROUND, LLC. *

Please type your name above if you agree.

Name and Likeness Agreement
In consideration of my employment by Full Throttle Saloon and Campground LLC (“FTS”) and my continued employment during such time as FTS and I agree, FTS and I agree that: 1. FTS shall have the exclusive, perpetual right to use my name (including the name “__TYPED BELOW__” (PRINT NAME), my voice and likeness for any purpose whatsoever in connection with any film, television program, web cast or other entertainment or informational program in any and all media, now or hereafter developed, relating to me, FTS, Michael Ballard or any other employee or person associated with FTS or Michael Ballard, including without limitation all advertising, promotion and merchandising with respect thereto. 2. I hereby agree to execute and deliver any documents deemed necessary by FTS to effectuate the rights granted to FTS hereunder (including without limitation the appearance release attached as Exhibit 1 hereto), and if I fail to execute and deliver any such documents within 3 days, Company shall have the right to execute such documents on my behalf of as my attorney-in-fact. 3. This agreement (a) is not a contract of employment, (b) shall be governed by the laws in effect in the state of Tennessee, and (c) shall be binding on and inure to the benefit of FTS and the undersigned employee and their respective successors. *

Please type your name above if you agree.

Date of Application

MM / DD / YYYY

Please type your full name below that you have read and understand all above

Please sign your name with your mouse, pen, or finger that you have read and understand all above

Clear