Employment Application

Please fill out all required information below. Thank you for applying.

* Denotes required field

Desired Location*:

Desired Position(s)*:
ServerBartenderHostFood RunnerLine CookDishwasher


General Info

First Name* Last Name: Middle Name:

Email*:

Street Address*:

City*: State: Zip:

Telephone*:

Social Security:

How did you hear of this opening?

When can you start*?

Desired Wage $:

Are you a U.S. citizen or authorized to work in the U.S. on an unrestricted basis*?YesNo

Are you looking for full time employment*? YesNo

If no, what hours are you available?

Have you ever been convicted of a felony*?YesNo

If yes, please fully describe the circumstances:


Education Info: (school name, location, year, major)

High School:

College:

College:

In addition to your work history, are there any other skills, qualifications, or experience we should consider?


Employment History:

Company Name:

Address:

Telephone:

Date Started:

Starting Wage:

Starting Position:

Date Ended:

Ending Wage:

Ending Position:

Name of Supervisor:

May we contact? YesNo

Responsibilities:

Reason for leaving:

====================================================================================

Company Name:

Address:

Telephone:

Date Started:

Starting Wage:

Starting Position:

Date Ended:

Ending Wage:

Ending Position:

Name of Supervisor:

May we contact? YesNo

Responsibilities:

Reason for leaving:

====================================================================================

Company Name:

Address:

Telephone:

Date Started:

Starting Wage:

Starting Position:

Date Ended:

Ending Wage:

Ending Position:

Name of Supervisor:

May we contact? YesNo

Responsibilities:

Reason for leaving:


Attach a resume?

Attach References:



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