DATE OF APPLICATION POSITION DESIRED
 
PLEASE PRINT DATE AVAILABLE DESIRED HOURS/WEEK
 
FIRST NAME MIDDLE NAME LAST NAME PREFERRED SHIFT
HOME ADDRESS (NUMBER AND STREET) TELEPHONE NUMBER
CITY STATE ZIP CODE ALT. TELEPHONE NUMBER
Have you ever worked under another name? Yes No             If yes , please specify.
Are you legally a minor? Yes No           ;Are you of legal age for serving alcohol? Yes No
If you are a minor, you will be required to submit proof of age and/or a work permit.
Can you upon hire, provide proof of identify and authorization to work in the United States? Yes No
The company is required to examine documentation certifying that each person is authorised to work in the United States.
Schedule availability: Please fill out times you are available to work, and if not list why.
MON TUE WED THU FRI SAT SUN
AM / / / / / /
PM / / / / / /
Are you related to anyone in the company? Yes No         If yes , who?
EMPLOYMENT
Account for all employment within the past 10 years, begining with your present or last position. Attach additional sheet if necessary.
FIRM NAME POSITIONS AND DUTIES REASON FOR LEAVING SUPERVISION/MANAGER FROM TO
Name
Address
City & State Salary: Telephone:
Name
Address
City & State Salary: Telephone:
Name
Address
City & State Salary: Telephone:
If presently employed, may we contact your employer? Yes No
Have you ever been discharged or asked to resign from a position? Yes No        
If yes, explain
Have you ever been convicted of a felony? Yes No        
If yes, please specity date, nature of offense and state in which convicted:
EDUCATION
Please list chronologically begining with most recent education.
School Name Graduate? Yes No
Address
City & State
School Name Graduate? Yes No
Address
City & State
School Name Graduate? Yes No
Address
City & State

Please describe in detail how you feel you would benefit our restaurant:

Please list in detail your expectations of a position at our restaurant:
Provide three persons, other than family members, whom we can contact for information on your work ability and character
  NAME RELATIONSHIP ADDRESS TELEPHONE
1.
2.
3.

Do you have any disability that would limit you in performing the position for which you are applying? Yes No

If yes, please explain your disability and describe any specific accomodations that would help you perform the job reliably and safely.

I declare that the answers and information on this application are complete and true to the best of my knowledge, and that any misreresentation or ormission may be cause for my immediate dismissed.


I aslo understand the my employment with the company may be terminated by either myself or the company at any time without notice, and that neither this application of any other communication is intended to confer any contractural obligation on either the company or myself.