First Name*
Last Name*
Address
 
Address (cont)
City
 
State
Zip
Phone*
Fax
Email*
 
Have you previously been employed by our company? Yes   No
Are you legally authorized to work in the United States? Yes  No
Have you ever applied for employment with our company? Yes  No
Are you over age 18 Yes  No
Are you over age 21 Yes  No
When Could you start employment? //
Please specify the position(s) you are interested in.
Manager
 Server
Bartender
 		 Line Cook
Prep Cook
Dishwasher

 

EMPLOYMENT HISTORY ( List Below last Two employers, starting with the most recent one first )

Position:
Company:
Address:
City:   State:
Zip:
Supervisor:
Title
Phone:
From: / To:/ 
Starting Pay: $     Final Pay: $
May we contact them? Yes  No
Duties:

Employer 2                                                                                                         

Position:
Company:
Address:
City:   State:
Zip:
Supervisor:
Title:
Phone:
From: / To:/
Starting Pay: $  Final Pay: $
May we contact them?  Yes  No
Duties:

EDUCATION INFORMATION                                                                          

School Name State Degree Major
High School
College
College
Grad School
Other


Additional Space (if needed)

In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed I understand that I am employed at will and that my employment and compensation can be terminated with or without cause, and with or without notice at any time.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.

I also understand that any offer of employment is conditioned on the completion of pre-employment test and documents. will, upon request, sign all necessary consent forms. By submitting this form you are agreeing to the terms of this form.

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