CAREERS PLEASE FILL THE APPLICATION BELOW Personal Information Applicant Name * First Name Last Name Date of Birth MM DD YYYY Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you authorized to work and remain in the United States? * Yes No Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought. * No Yes If Yes, Please explain Personal References Referral Name First Name Last Name Phone (###) ### #### Employment Desired Position Server Bartender Host Cook Dishwasher Any Available Position Date you can start MM DD YYYY Salary Desired Availability to work (Please check the shifts you are available) * Monday - AM Monday - PM Tuesday - AM Tuesday - PM Wednesday - AM Wednesday - PM Thursday - AM Thursday - PM Friday - AM Friday - PM Saturday - AM Saturday - PM Sunday - AM Sunday - PM Are you employed now? * Yes No Education History High School (Name of School / Years Attended / Subject Studied) College (Name of School / Years Attended / Subject Studied) Graduate School (Name of School / Years Attended / Subject Studied) Are you presently attending school? Yes No Special Training or Skills Employment History (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST) May we contact your present or former employee? Yes No 1st Employer Name of Employer Job Title & Description of Duties Date Started - Date Ended Supervisor Phone (###) ### #### Reason for Leaving 2nd Employer Name of Employer Job Title & Description of Duties Date Started - Date Ended Supervisor Phone (###) ### #### Reason for Leaving 3rd Employer Name of Employer Job Title & Description of Duties Date Started - Date Ended Supervisor Phone (###) ### #### Reason for Leaving Thank you!
