Texas Roadhouse International Employment Survey

First Name:

Last Name:

Mobile Phone Number:

Email Address:

Years With Texas Roadhouse:

Current Store Location:

Current Position:

List Any Prior Positions With Texas Roadhouse:

Name of Supervising Managing Partner, Market Partner, or Regional Partner:

What area(s) are you interested in working? Please check all that apply.

China

Middle East

Mexico

Other future International opportunity

Do you have a passport or are you eligible to obtain one?

Yes, I have one

No, but I am eligible to obtain one

Neither

Will you be relocating alone or with others who will need to be considered?

Alone

With others

Have you ever lived or worked abroad? Please check all that apply.

Lived

Worked

None of the above

How long did you live or work abroad for?

What languages do you speak? Please check all that apply.

If you selected other(s), please indicate what language(s) you speak.

Please indicate your level of proficiency with the foreign language(s) you have selected.

Elementary proficiency

Limited working proficiency

Full professional proficiency

If you have lived, or worked abroad, where did you live or work (location)?

If worked abroad, what type of work was it?

Please indicate if there is anything you would like us to know to further our understanding of your ability to work abroad.

I acknowledge and agree that Texas Roadhouse may share with others certain information about me and my employment, including my previous or current training, progress, performance, and other information relevant to international operations.

Yes

No