Employment First Name Last Name PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Have you ever been convicted of a felony? Yes No Are you 18 or older? Yes No Are you Bi-lingual? Yes No Are you 21 or older? Yes No Desired Position(s) BOH Asst Manager Wait Staff Bartender Kitchen Dishwasher Host What times can you work (Check all that apply) Days (10am-5pm Monday-Friday) Nights Weekends Full-time or Part-time? Full Time Part Time Desired Start Date MM slash DD slash YYYY EDUCATIONSchool 1 Years Attended Major Degree Received School 2 Years Attended Major Degree Received EMPLOYMENTPrevious or Current Employer 1 Dates Employed Position Work PhoneDuties Performed May we contact them? Yes No Previous Employer 2 Dates Employed Position Work PhoneDuties Performed May we contact them? Yes No Previous Employer 3 Dates Employed Position Work PhoneDuties Performed May we contact them? Yes No REFERENCESReference Name 1 Reference Employer PhoneHow do you know them? Reference Name 2 Reference Employer PhoneHow do you know them? Reference Name 3 Reference Employer PhoneHow do you know them? Optional: Attach a resume if you wishMax. file size: 16 MB.Date MM slash DD slash YYYY CAPTCHA