EQUAL OPPORTUNITY EMPLOYER

DRM, INC. EMPLOYMENT APPLICATION

DRM, Inc. (here in after the Company), does not discriminate on the basis of race, sex, color, religion, national origin, sexual orientation, age, disability, veteran status, or any other factors made unlawful under applicable federal and state laws. All personnel decisions are made without prejudice or discrimination, in accordance with the principles of equal opportunity. PLEASE PRINT THE FOLLOWING INFORMATION:

PERSONAL INFORMATION

HOW TO COMPLETE THIS APPLICATION

POSITION REQUESTED

Name (First, Middle, Last)

Phone Number (if not a local number, please provide a local number) Street Address

How long have you lived at your current address?

Are you under the age of 18? Yes No

If "yes" can you, after employment, show proof of age? Yes No Do you have a current valid driver’s license? Yes No Can you, after employment, submit verification of

your legal right to work in the U.S.? Yes No

Have you ever been counseled or disciplined for

being late or absent from work or school? Yes No The U.S. Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, streptococcus, giardia, and campylobacter, may prevent you from serving good food or handling food equipment in a sanitary or healthy fashion. An essential function of this job involves serving food or handling food equipment in a sanitary and healthy fashion. Can you, with or without reasonable accommodation, perform this essential function of this job? Yes No

Crew Member: No experience required.

Shift Manager: Food service or retail experience required.

Assistant Manager/Restaurant Manager: Management experience required. Have you ever been convicted of a felony, a crime involving dishonesty, or a crime involving violence to another person? Yes No If yes, please describe, including dates charged, penalties, and current disposition. Note: Convictions may not be an automatic disqualification from employment. Today’s Date

City, State, Zip Code

Person to contact in case of an emergency (name & phone number) 1. Use a blue or black pen. Print neatly, so your answers are easy to read. If you need more space, attach an additional sheet of paper. 2. Answer all of the questions completely. If you do not understand a question, ask the manager to explain it. You are not required to give information in response to a question that is prohibited by law. 3. If you have questions about job duties or career opportunities with Arby’s, ask the manager. He or she will be glad to answer them. 4. Carefully read the information on the application. Once you have answered the questions and read all the information, sign and date the application.

5. Applications are effective for 60 days, after which you must re-apply. This time period may be extended if you are interviewed for a position during the 60-day period.

Home- Cell- Other-

PLEASE LIST THREE MOST RECENT JOBS (Start with most recent or current job) Have you ever applied at Arby’s before? Yes No If yes, when: Have you ever worked at Arby’s before? Yes No If yes, dates & location: Have you ever been bonded? Yes No If yes, on what jobs? Company:

Dates: from / / to / /

City: State:

Last Rate of Pay:

Position:

Supervisor:

Phone: Eligible for Re-Hire? Yes No

Reason for leaving: Resigned with Notice Resigned without Notice Terminated Company:

Dates: from / / to / /

City: State:

Last Rate of Pay:

Position:

Supervisor:

Phone: Eligible for Re-Hire? Yes No

Reason for leaving: Resigned with Notice Resigned without Notice Terminated Company:

Dates: from / / to / /

City: State:

Last Rate of Pay:

Position:

Supervisor:

Phone: Eligible for Re-Hire? Yes No

Reason for leaving: Resigned with Notice Resigned without Notice Terminated AVAILABILITY (for Crew Member and Shift Manager applicants only) Date you can start:

How did you learn of this opportunity? Employee Referral (please list name: ) Advertisement (please list source: )

Walk-in Internet site: Relative (please list name: ) Other: Open am

Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Lunch am/pm

Dinner pm

Close pm/am

$ Wages desired

Please check the shifts you are available to work (hours may vary): Comments:

APPLICANT’S STATEMENTS

READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID.

1. The information I am presenting in this application is complete, true and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omissions could result in the denial of my application, withdrawal of any offer of employment, or immediate discharge.

2. I understand that in connection with the application process, the Company and its representatives may contact my former employers, educational institutions, conduct a background check, may contact references, and other relevant third parties to obtain additional information related to the information given by me in this application. I hereby request, release, and consent to the release and disclosure of such information. I further release and hold harmless the Company, and affiliates, their officers, employees and agents, and any other parties inquiring about, investigating, furnishing, communicating, reviewing, or evaluating such information from any and all potential claims, demands, damages, liabilities, and/or actions of any kind arising from such activities, whether known or unknown to me presently, that I may have, now or in the future. 3. If employed, I agree to conform to the rules and regulations of DRM and Arby’s and understand that I will be an employee at-will, and my employment may be terminated at any time by me or the Company, with or without notice, for any reason. I understand that only an Officer of the Company has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, and it must be in writing and signed. DRM, INC. BENEFITS

DRM strongly believes in being “The Employer of Choice” and offers wonderful benefits (for those who qualify) such as :

• Health Insurance • 401(k) Plan

• Dental Insurance • Vacation Plan

• Life Insurance • Bonus Incentive Plans

• Vision Insurance • Meal Discounts

• Long-term Disability Insurance

Applicant’s Signature Date

EDUCATION

High School: Yes No

Trade or Business School: Yes No

College or University: Yes No

School Name & Location Did you Graduate? GPA Major/Degree or Total Hours Interviewer’s Name:

FOR COMPANY USE ONLY

FOR COMPANY USE ONLY

Check Either A or B

A) The applicant did not receive a first interview due to: (please check one of the following)

Missing, illegible or incomplete information

Schedule availability inconsistent with restaurant needs

Previous job history/wage requirements inconsistent with restaurant needs

Under Age* employability inconsistent with restaurant needs

Applicant’s expectations/standards inconsistent with restaurant needs B) The applicant received a first interview on: The reference check below was conducted on: Telephone Reference Introduction:

Hello, this is with Arby’s and I would like to verify employment information on who is applying to our company for, the position of . May I verify some information regarding their work history? Company Name:

Phone: Person to Contact:

Dates of Employment:

From: To:

Applicants Last Job Title:

Applicants Last Rate of Pay:

Reason for Leaving:

Eligible for Rehire:

Overall, how would you rate this

person to people you’ve worked

with in similar positions?

Copy & Verify Company Information from the front of this form. Date:

* Under 16, or under 18-21 depending on state or local laws. T elephone Reference Check

Resigned

w/notice Resigned

w/out notice Terminated

Yes No Unsure

Strong Ok Concerns

Company Name:

Phone: Person to Contact:

Dates of Employment:

From: To:

Applicants Last Job Title:

Applicants Last Rate of Pay:

Reason for Leaving:

Eligible for Rehire:

Overall, how would you rate this

person to people you’ve worked

with in similar positions?

Resigned

w/notice Resigned

w/out notice Terminated

Yes No Unsure

Strong Ok Concerns

Company Name:

Phone: Person to Contact:

Dates of Employment:

From: To:

Applicants Last Job Title:

Applicants Last Rate of Pay:

Reason for Leaving:

Eligible for Rehire:

Overall, how would you rate this

person to people you’ve worked

with in similar positions?

Resigned

w/notice Resigned

w/out notice Terminated

Yes No Unsure

Strong Ok Concerns

Contact this candidate