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Looking for a Legendary place to work? Application for HOURLY EMPLOYMENT A Legendary Place To Work And Have Fun! Some of Our Outstanding Benefits: mCompetitive Pay mCross Training mFlexible Schedule mDiscounted Meals mIn House Promotions mInsurance Job Description In A Nut Shell: • Food Server Requires continuous movement, responsiveness to guest’s needs, sales skills, cash handling, teamwork, Legendary Service, some heavy lifting and ability to work under pressure. • Dish Machine Operator Requires attention to detail, commitment to cleanliness, high sanitation and organizational standards, continuous movement, some heavy lifting required. • Bartender Work in a confined work space in a fast pace environment. Requires responsible service of alcohol & cash handling, sales skills & teamwork, some heavy lifting and ability to work under pressure. • Server Assistant Requires continuous movement, responsiveness to guest’s needs, sales skills, teamwork, Legendary Service, some heavy lifting and ability to work under pressure. • Baker Requires dexterity, attention to detail, commitment to standards, high sanitation standards and some heavy lifting. • Host/Hostess Always on stage! Requires positive & professional image, great first impression, help co-workers re-set tables, some heavy lifting, continuous movement and ability to work under pressure. Meat Cutter Requires dexterity, attention to detail, commitment to standards, high sanitation standards, some heavy lifting and ability to work alone for long periods in cold conditions. • Food Runner Requires attention to detail, commitment to standards, continuous movement, some heavy lifting and hot working conditions. • Line Cook/Food Prep Requires attention to detail, commitment to standards, combination of speed and stamina, ability to work under pressure, some heavy lifting and hot working conditions.

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Page 1: A Legendary Place To Work And Have Fun!

Looking for a Legendary place to work?

Application forhourly employment

A Legendary Place To Work And Have Fun!

Some of Our Outstanding Benefits: mCompetitive Pay mCross Training mFlexible Schedule mDiscounted Meals mIn House Promotions mInsurance

Job Description In A Nut Shell:• Food Server Requires continuous movement, responsiveness to guest’s needs, sales skills, cash handling,

teamwork, Legendary Service, some heavy lifting and ability to work under pressure.• Dish Machine Operator Requires attention to detail, commitment to cleanliness, high sanitation and

organizational standards, continuous movement, some heavy lifting required.• Bartender Work in a confined work space in a fast pace environment. Requires responsible service

of alcohol & cash handling, sales skills & teamwork, some heavy lifting and ability to work under pressure.

• Server Assistant Requires continuous movement, responsiveness to guest’s needs, sales skills, teamwork, Legendary Service, some heavy lifting and ability to work under pressure.

• Baker Requires dexterity, attention to detail, commitment to standards, high sanitation standards and some heavy lifting.

• Host/Hostess Always on stage! Requires positive & professional image, great first impression, help co-workers re-set tables, some heavy lifting, continuous movement and ability to work under pressure.

• Meat Cutter Requires dexterity, attention to detail, commitment to standards, high sanitation standards, some heavy lifting and ability to work alone for long periods in cold conditions.

• Food Runner Requires attention to detail, commitment to standards, continuous movement, some heavy lifting and hot working conditions.

• Line Cook/Food Prep Requires attention to detail, commitment to standards, combination of speed and stamina, ability to work under pressure, some heavy lifting and hot working conditions.

Page 2: A Legendary Place To Work And Have Fun!

Applying For:(check all that apply)

Date You Can Start: ________________________ $ Wages Desired Per Week: ________________________Please Check (m) the shifts you are available to work (hours may vary):

Availability: Mon. Tues. Wed. Thurs. Fri. Sat. Sun.OPEN a.m.

LUNCH a.m./p.m.

DINNER p.m.

CLOSE p.m./a.m.

Have you ever worked at Texas Roadhouse before? mYes mNoIf yes: Position Held Location City, State Supervisor’s Name

mFood ServermLine Cook/Food Prep

mBartendermFood Runner

mHost/HostessmMeat Cutter

mService AssistantsmBaker

Please List Three Most Recent Jobs (start with most recent or current job): 1. Company: __________________________________________ Position(s): ____________________________________________ Dates: from __________________ to __________________ Supervisor: ____________________________________________ City: _________________________ State: ______________ Phone: ________________________________________________ Last Rate of Pay: _______________ Reason For Leaving: m Resigned with Notice m Resigned without Notice m Terminated Eligible for Re-Hire? m Yes m No

2 Company: __________________________________________ Position(s): ____________________________________________ Dates: from __________________ to __________________ Supervisor: ____________________________________________ City: _________________________ State: ______________ Phone: ________________________________________________ Last Rate of Pay: _______________ Reason For Leaving: m Resigned with Notice m Resigned without Notice m Terminated Eligible for Re-Hire? m Yes m No

3. Company: __________________________________________ Position(s): ____________________________________________ Dates: from __________________ to __________________ Supervisor: ____________________________________________ City: _________________________ State: ______________ Phone: ________________________________________________ Last Rate of Pay: _______________ Reason For Leaving: m Resigned with Notice m Resigned without Notice m Terminated Eligible for Re-Hire? m Yes m No

Signature: _____________________________________________________________ Date: _____________________________

/ / / / ( )

/ / / / ( )

/ / / / ( )

/ /

“I understand that Texas Roadhouse is an equal opportunity employer and all qualified applicants are considered for all positions applied for without regard to race, color, religion, sex, sexual orientation, national origin, ethnicity, age, veteran status, disability or any other legally protected status.”“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application will be grounds for dismissal.”“I authorize you to investigate all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you.”“I understand and agree that, if hired, my employment is at will unless otherwise defined by applicable law, and is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.”“I understand that this application is not an employment contract.”

11/2012

mDish Machine Operator

Personal Information Today’s Date: ________________ Name: _____________________________________________ Phone: ________________________________________________ Address: ___________________________________________ City ___________________ State ___________ Zip ___________ Permanent Address: __________________________________ City ___________________ State ___________ Zip ___________ Are you 16 years or older? m Yes m No (Applicants under age 16 are not eligible for hire.) Are you 18 years or older? m Yes m No BEFORE ANSWERING, PLEASE READ STATE-SPECIFIC INSTRUCTIONS ON THE NEXT PAGE: Have you ever been convicted of a felony? m Yes m No If yes, please explain: ( A conviction record does not necessarily disqualify you from employment; factors such as the date of the offense, seriousness and nature of the violation and

rehabilitation will be taken into account.)

TELL US ABOUT YOUR LEGENDARY SELF

Page 3: A Legendary Place To Work And Have Fun!

Company Name:________________________________Phone: ( _____ ) ________________Person to Contact:________________________________Date of Employment:From: ___________ To: ___________ Applicant’s Last Job Title:________________________________Applicant’s Last Rate of Pay: ______Reason for Leaving:

Company Name:________________________________Phone: ( _____ ) ________________Person to Contact:________________________________Date of Employment:From: ___________ To: ___________ Applicant’s Last Job Title:________________________________Applicant’s Last Rate of Pay: ______Reason for Leaving:

Company Name:________________________________Phone: ( _____ ) ________________Person to Contact:________________________________Date of Employment:From: ___________ To: ___________ Applicant’s Last Job Title:________________________________Applicant’s Last Rate of Pay: ______Reason for Leaving:

m m mResignedw/notice

Resignedw/out notice

Terminated m m mResignedw/notice

Resignedw/out notice

Terminatedm m mResignedw/notice

Resignedw/out notice

Terminated

Eligible for Rehire:

Overall, how would you rate thisperson to people you’ve worked within similar positions?

Eligible for Rehire:

Overall, how would you rate thisperson to people you’ve worked within similar positions?

Telephone Reference CheckTelephone Reference Introduction:Hello, this is _________________________________ with Texas Roadhouse and I would like to verify someemployment information on _________________________ who is applying to our company for the positionof ____________________________________. May I verify some information regarding their work history?

Eligible for Rehire:

Overall, how would you rate thisperson to people you’ve worked within similar positions?

m m mExcellent Good Fair m m mExcellent Good Fairm m mExcellent Good Fair

m m mYes No Unsure m m mYes No Unsurem m mYes No Unsure

IMPORTANT STATE SPECIFIC INSTRUCTIONS FOR APPLICANTS

FOR COMPANY USE ONLY

Please read the State Specific Instructions below if you reside in, or are applying for a position in: California, Connecticut, Georgia, Maryland, Michigan, Nebraska, Nevada, New York, Pennsylvania or Washington.

Maryland Applicants: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment or continued employment, that any individual submit to or take a polygraph examination or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.

California Applicants: Do not identify any misdemeanor convictions. Also, do not identify marijuana-related convictions entered by the court more than 2 years ago that involve: unlawful possession of marijuana; transportation or giving away of up to 28.5 grams of marijuana, other than concentrated cannabis, or the offering to transport or give away up to 28.5 grams of marijuana, other than concentrated cannabis; possession of paraphernalia used to smoke marijuana; being in a place with knowledge that marijuana was being used; or being under the influence of marijuana. Also, do not identify any arrest or detention that did not result in a felony conviction or any record of a referral to, and participation in, any pretrial or post trial diversion program.

Connecticut Applicants: Do not identify any arrest, criminal charge or conviction the records of which have been erased by a court based on sections 46b-146, 54-76o or 54-142a of the Connecticut General Statutes. Criminal records subject to erasure under these sections are records concerning a finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or not prosecuted, a criminal charge for which the person was found not guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have been judicially erased under one or more of these sections is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased, and may so swear under oath.

Georgia Applicants: Do not identify any verdict or plea of guilty or nolo contendere that was discharged by the court under Georgia’s First Offender Act.

Indiana Applicants: Do not identify a conviction for a Class D felony if the Class D felony conviction has been entered as a Class A misdemeanor conviction or has been converted to a Class A misdemeanor conviction.

Michigan Applicants: Do not identify any misdemeanor arrests, detentions or dispositions that did not result in conviction.

Nebraska Applicants: Do not identify a sealed juvenile record of arrest, custody, complaint, disposition, diversion, adjudication or sentence.

Nevada Applicants: You must disclose all felony convictions. Do not disclose misdemeanor convictions. Please note that the discharge and dismissal of certain first time drug offenses, after the accused has completed probation and any required treatment or educational programs, does not constitute a “conviction” for purposes of employment.

New York Applicants: You may answer “no record” concerning any criminal proceeding that terminated in your favor, per section 160.50 of the New York Criminal Procedure Law; any criminal proceeding that terminated in a “youthful offender adjudication,” as defined in section 720.35 of the New York Criminal Procedure Law; any conviction for a “violation” that already has been sealed by the court, per section 160.55 of the New York Criminal Procedure Law; and any conviction that was sealed pursuant to section 160.58 of the New York Criminal Procedure Law in connection with the licensing, employment or providing of credit or insurance.

Pennsylvania Applicants: Do not identify convictions for summary offenses. Philadelphia, PA Applicants: DO NOT ANSWER THE CRIMINAL HISTORY QUESTIONS ON THIS APPLICATION. You will only have to answer this question if you receive a conditional offer of employment.

Washington Applicants: Do not identify any conviction entered by the court more than 10 years ago unless some period of incarceration resulting from that conviction took place within the last ten years.

COPY & VERIFY COMPANY INFORMATION FROM THE FRONT OF THIS FORM