Job Application Form

Identity of Employer - D2G Holdings, LLC

It is important that you understand that Native Grill and Wings operates through a franchise network. Each restaurant is independently owned and operated by a franchisee who purchased the franchise rights to that store from NGW, LLC., the franchisor. You understand that you are submitting your application to a specific franchisee who will be your employer. The name of that employer is listed on this page above. NGW, LLC the franchisor, will not review this application and will not be your employer.

I understand and agree *

Yes No

Full Name *

First Name Middle Name Last Name

Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Email Address *

Phone Number *

Area Code Phone Number

Applying for Position *

Fry Grill Pizza/ Salad Prep Cook Expo Host/ Hostess Bartender Server Team Manager

Are you currently employed? *

Yes No

If yes, where?

What hours do you work?

Full time/ Part Time *

Full Time Part Time

Days and hours available *

List any special training or skills

List any activities (civic, athletic, etc.) that you are involved in

Select highest level of completed education *

Other

Previous Employment: Company 1

Previous Employment: Company 2

Previous Employment: Company 3

Questionnaire *

*

References *

Drug Use/ Testing

If you are selected for employment, this is advisement that we instill a Random AND For Cause drug testing policy and may
require you to be tested for such at any given time during the course of employment or pre-employment.
AUTHORIZATION: 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 shall be grounds for dismissal, I authorize investigation
of all statements contained herein and the reference and employers 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 the company from all
liability for any damage that may result from utilization of such information. I also understand and agree that no representative
of the company has any authority to enter into any agreement for employment for any specified period of time, or to make
any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
Further, I understand a nd agree my employment may be terminated with or without cause at any time with or without notice.

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