EMPLOYMENT APPLICATION

This form must be completed in full and signed even if a resume is attached. Napa Valley Burger Company is an equal opportunity employer.

Education
WORK EXPERIENCE

list below previous employers, beginning with the most recent

ACKNOWLEDGEMENTS

1. I certify that all statements made on this application and on my resume or other supplementary materials are true and correct andany misrepresentation or omission of fact on this application may be cause for refusal of hire or for discharge at any time during theperiod of my subsequent employment should I be fired.

2. I authorize the restaurant to verify all verbal and written statements made by me that may include interviews of former employersand other references.

3. I authorize any and all former employers or educational institutions to release all information relevant to my employment oreducation

4. I agree that if I am hired, I will be free to resign my employment at any time with or without cause. NVBC may also terminate myemployment at any time with or without cause.

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