Employment First NameLast NamePhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Have you ever been convicted of a felony?YesNoAre you 18 or older?YesNoAre you Bi-lingual?YesNoAre you 21 or older?YesNoDesired Position(s) 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 TimePart TimeDesired Start Date Date Format: MM slash DD slash YYYY EDUCATIONSchool 1Years AttendedMajorDegree ReceivedSchool 2Years AttendedMajorDegree Received EMPLOYMENTPrevious or Current Employer 1Dates EmployedPositionWork PhoneDuties PerformedMay we contact them?YesNoPrevious Employer 2Dates EmployedPositionWork PhoneDuties PerformedMay we contact them?YesNoPrevious Employer 3Dates EmployedPositionWork PhoneDuties PerformedMay we contact them?YesNo REFERENCESReference Name 1Reference EmployerPhoneHow do you know them?Reference Name 2Reference EmployerPhoneHow do you know them?Reference Name 3Reference EmployerPhoneHow do you know them?Optional: Attach a resume if you wishDate Date Format: MM slash DD slash YYYY CAPTCHA
