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Contact Information
Name:
Phone:
Email:
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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 Time
Part 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
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09
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23
24
25
26
27
28
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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: