Contact Information
Name:
Phone:
Email:
Join our mailing list to receive news and promotions from us?
I would like to receive text alerts with special promotions and important information
Mobile Phone:

Contact Address
Street:
City:
State/Province:
Zip/Postal Code:

Requested Information

If hired can you provide evidence of legal eligibility to work in the U.S. - Choose an Option - Yes No

Position Desired? - Choose an Option - Waiter/Waitress Host/Hostess Bartender Bar-back Management

What is your salary requirement (if any)?

Full Time or Part Time? Full TimePart Time

Have you ever been conviceted of a felony, or misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending? - Choose an Option - Yes No

If yes, when?

If yes, where?

Date that you can begin work: January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Are you 18 years of age or older? - Choose an Option - Yes No

Name of high school attended:

City and State of high school:

Graduate? - Choose an Option - Yes No

GED? - Choose an Option - Yes No Graduated

Name of college or technical school:

City & State of colllege or technical school:

Graduate? - Choose an Option - Yes No

Degree:

Major:

Are you presently enrolled in school? - Choose an Option - Yes No

If yes, give name & address of school and expected graduation date:

Do you have your own transportation? - Choose an Option - Yes No

List any job-related skills or acomplishments, including military service:

What is your availability for work? Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Reference #1

List reference that we can contact:

How do you know them, and for how long?

Phone Number

Reference #2

List reference that we can contact:

How do you know them, and for how long?

Phone Number

Reference #3

List reference that we can contact:

How do you know them, and for how long?

Phone Number

Employment History

Name of Employer:

Job Title/Duties

Address

City/State/Zip

Dates of Employment (From When - To When):

Supervisor name and phone number:

Hourly pay or salary (Starting pay & ending pay):

Reason for leaving:

Previous Employment History

Name of Employer:

Job Title/Duties

Address

City/State/Zip

Dates of Emloyment (From When - To When):

Supervisor name and phone number:

Hourly pay or salary (Starting pay & ending pay):

Reason for leaving:

Other Employment History

Name of Employer:

Job Title/Duties

Address

Dates of Emloyment (From When - To When):

City/State/Zip

Supervisor name and phone number:

Hourly pay or salary (Starting pay & ending pay):

Reason for leaving:

Electronic Signature

By putting your name in this box, you are electronically signing this application:

Additional Information: