Thank you for your interest in Elmer's Breakfast • Lunch • Dinner!
All applicants will be given equal consideration regardless of race, age, sex, physical or mental disability, sexual orientation, ancestry, pregnancy or other medial condition, gender identity, genetic information, marital status, color, religion, veteran's or current military status, or national origin.
Our policy requires that all persons interested in employment complete a written application for a position which has been advertised or posted and for which they are qualified. A resume alone is not sufficient to consider an individual as an applicant. Individuals will not be considered applicants if they exclude the following information:
Date and position applied for
Information required by law, including authorization to work in the United States
A complete employment history including the name of the employer, dates of employment and reason for leaving
A digital signature of applicant
The company will make reasonable accommodation in the application process, if needed.
Please confirm that you have read and understand the policy above.
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Tell us about yourself
First M Last
Address
City State Zip
Phone Email
Are you over 18? Yes No
How did you hear about us? —Please choose an option— Craigslist Indeed Walk-in Employee Referral Other Please tell us how you heard about us Employee's location I don't know Albany, OR Beaverton, OR (Cornell Oaks, 1250 NW Waterhouse Ave) Bend, OR Boise, ID Clackamas, OR Coeur d'Alene, ID Corvallis, OR Grants Pass, OR Eugene, OR Gresham, OR Hillsboro, OR (Downtown, 390 SW Adams Ave) Hillsboro, OR (Tanasbourne, 2185 NW 185th Ave) Medford, OR (N. Medford, 2000 Biddle Rd) Medford, OR (S. Medford, 68 E Stewart Ave) Palm Springs, CA Pocatello, ID Portland, OR (Mall 205, 9660 SE Stark St) Portland, OR (Airport Way, 11335 NE Airport Way) Portland, OR (San Rafael, 1933 NE 181st Ave) Portland, OR (Parkrose, 10001 NE Sandy Blvd) Roseburg, OR Salem, OR Tacoma, WA Tigard, OR Tualatin, OR Vancouver, WA (Home Office, 1111 Main St, Suite 400) Vancouver, WA (Mill Plain, 11310 SE Mill Plain Blvd) Woodburn, OR
Have you ever been employed with Elmer's? Yes No
Date Location —Please choose an option— Albany, OR Beaverton, OR Bend, OR Boise, ID Clackamas, OR Coeur d'Alene, ID Corvallis, OR Eugene, OR Grants Pass, OR Gresham, OR Hillsboro, OR (390 SW Adams Ave) Hillsboro, OR (2185 NW 185th Ave) Medford, OR (N. Medford) Medford, OR (S. Medford) Palm Springs, CA Pocatello, ID Portland, OR (9660 SE Stark St) Portland, OR (10001 NE Sandy Blvd) Portland, OR (1933 NE 181st Ave) Roseburg, OR (3030 NW Aviation Drive) Salem, OR Tacoma, WA Tigard, OR Tualatin, OR Vancouver, WA (11310 SE Mill Plain Blvd) Woodburn, OR
Are you authorized to work in the U.S.? Yes No
Why would you like to work for Elmer's?
Please fill out the above form in its entirety. Missing fields have been outlined in red.
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Position Details
What kind of position are you looking for
Position Desired Manager Supervisor Line cook Prep cook Dishwasher Server Host Busser Any/Other Pay Desired
Geographic/Location Preference (check all that apply) Albany, OR** Beaverton, OR (Cornell Oaks, 1250 NW Waterhouse Ave) Bend, OR Boise, ID Clackamas, OR* Coeur d'Alene, ID* Corvallis, OR* Eugene, OR** Grants Pass, OR** Gresham, OR Hillsboro, OR (Downtown, 390 SW Adams Ave)* Hillsboro, OR (Tanasbourne, 2185 NW 185th Ave)* Medford, OR (N. Medford, 2000 Biddle Rd)** Medford, OR (S. Medford, 68 E Stewart Ave)** Palm Springs, CA* Pocatello, ID* Portland, OR (Airport Way, 11335 NE Airport Way) Portland, OR (San Rafael, 1933 NE 181st Ave) Portland, OR (Mall 205, 9660 SE Stark St) Portland, OR (Parkrose, 10001 NE Sandy Blvd) Roseburg, OR Salem, OR Tacoma, WA Tigard, OR Tualatin, OR (Martinazzi, 19365 SW Martinazzi Ave) Vancouver, WA (Home Office, 1111 Main St, Suite 400) Vancouver, WA (Mill Plain, 11310 SE Mill Plain Blvd) Woodburn, OR
Availability
Desired start date
Are you available to work holidays? Yes No
Are you willing to work overtime if required? Yes No
How many hours do you want to work each week? 1-10 11-20 21-30 31+
If your desired hours are not available, would you consider another schedule? Yes No
Specify the hours you are available to work each day of the week
Monday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Tuesday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Wednesday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Thursday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Friday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Saturday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm Sunday Not available 1 2 3 4 5 6 7 8 9 10 11 12 am pm to 1 2 3 4 5 6 7 8 9 10 11 12 am pm
Please fill out the above form in its entirety. Missing fields have been outlined in red.
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Work History
Indicate your last three positions held, as applicable (additional fields can be added below). Begin with your most recent employer. Include military experience here if applicable.
I have not worked in the past
Add new reference
Unless no previous work experience has been checked all fields must be filled out for the first previous employer, at minimum. Missing fields have been outlined in red.
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I understand and agree that:
the information I have provided on this application is true and complete to the best of my knowledge without any material omissions of any kind whatsoever
any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interview, can be justification of refusal of employment, or if employed, will result in my immediate discharge
filling out this application does not indicate that there is a position open and does not obligate Elmer's Restaurants, Inc., Rogue River Hospitality Services LLC (RRHS), or any Elmer's Franchisee to hire me.
This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, financial sources, and custodians of official records. Only job-related information developed from such a report will be considered in evaluating my Employment Application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records. In addition, if I am employed by Elmer's or RRHS, I authorize Elmer's and/or RRHS to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with Elmer's and/or RRHS.
Please check the box above releasing Elmer's from liability based on the information provided
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