FEDERAL ELIGIBILITY VERIFICATION

TO COMPLY WITH THE FEDERAL ELIGIBILITY VERIFICATION LAW YOU MUST BRING EITHER ONE DOCUMENT FROM LIST A OR ONE DOCUMENT FROM LIST B AND ONE DOCUMENT FROM LIST C AS FOLLOWS:

LIST A

UNITED STATES PASSPORT • CERTIFICATE OF UNITED STATES CITIZENSHIP • CERTIFICATE OF NATURALIZATION • UNEXPIRED FOREIGN PASSPORT WITH EMPLOYMENT AUTHORIZATION • ALIEN REGISTRATION CARD WITH PHOTOGRAPH

LIST B

UNEXPIRED STATE-ISSUED DRIVERS LICENSE • UNEXPIRED STATE-ISSUED IDENTIFICATION CARD • SCHOOL IDENTIFICATION CARD WITH PHOTOGRAPH • VOTERS REGISTRATION CARD • UNITED STATES MILITARY CARD

LIST C

SOCIAL SECURITY NUMBER CARD (ORIGINAL) • AN ORIGINAL OR CERTIFIED COPY OF A BIRTH CERTIFICATE ISSUED BY A STATE OR COUNTY, BEARING AN OFFICIAL SEAL FOR PERSONS UNDER AGE 18 WHO ARE UNABLE TO PRESENT A DOCUMENT LISTED ABOVE: • SCHOOL RECORD OR REPORT CARD • CLINIC, DOCTOR OR HOSPITAL RECORD • DAYCARE OR NURSERY SCHOOL RECORD • FAILURE TO PROVIDE THE DOCUMENT(S) REQUIRED BY LAW WILL RESULT IN IMMEDIATE TERMINATION.

FAIR CREDIT REPORTING ACT AND EMPLOYMENT AT WILL DISCLOSURE

I UNDERSTAND I AM APPLYING FOR EMPLOYMENT WHICH CAN BE TERMINATED AT WILL BY EITHER MYSELF OR J&S RESTAURANTS, INC AT ANY TIME AND THAT NOTHING CONTAINED IN ANY MANUAL, BROCHURE, OR OTHER J&S RESTAURANTS, INC MATERIALS SHALL CONSTITUTE AN IMPLIED CONTRACT FOR EMPLOYMENT. I ALSO ACKNOWLEDGE THAT J&S RESTAURANTS, INC MAY REQUEST PREVIOUS EMPLOYMENT INFORMATION TO EVALUATE MY QUALIFICATIONS FOR EMPLOYMENT. UPON WRITTEN REQUEST, INFORMATION AS TO THE NATURE AND SCOPE OF SUCH REPORT WILL BE PROVIDED. I UNDERSTAND THAT FALSE OR INCOMPLETE INFORMATION IN THIS APPLICATION FOR EMPLOYMENT IS GROUNDS FOR DISMISSAL AND FORFEITURE OF ALL RELATED BENEFITS.