Please fill in all information below.

CONTACT INFORMATION
First Name
Last Name
Street Address
City
State/Province
Zip/Postal Code
Country
Phone
Email Address
Are you age 18 or older?

Yes No

Have you ever been convicted of a felony?

Yes No

(Conviction of a felony is not an automatic bar to employment. The type and nature of the offense, the circumstances and rehabilitation since the offense, will be considered.)

If yes, please explain:
Are you legally eligible to work in the U.S.? Yes No
Can you supply documents to prove your legal right to work in the U.S.? Yes No

GENERAL INFORMATION

What position are you applying for? House Manager

Chef

Server

Host/Hostess

Cook

Kitchen Prep

Busser

Dishwasher

Delivery Driver

Please briefly describe any experience you have related to the position you are applying for or the restaurant and/or service industry:
Are you looking for full or part-time work?
Full or Part-time Full-time Part-time
Salary desired?

Do you have adequate transportation
to and from work?

Yes No

How many evenings per week
can you work?

Are there any nights you cannot work?
(if yes, please explain)

Are you willing and able to work weekends?

Yes No
Are you willing and able to work Holidays?

Yes No
Are you willing to work flexible hours?

If hired, when can you start?

If hired, how long would you plan to work with us?

Our specific requirements for personal appearance include: clean, proper work clothing, good general hygiene and no excessive jewelry or makeup. Are you willing to meet these requirements?

Yes No
We do not permit our employees to smoke in operation areas. Are you willing to comply?

Yes No
Because of the nature of the restaurant business you will be required to be on your feet from 6-8 hours at a time. Are you willing and able to comply with this requirement?

Yes No
You may be required to lift up to 30lbs several times per day in the normal operations of a restaurant. Are you willing and able to comply with this requirement?

Yes No

EDUCATION

Highschool or GED? Yes No
College(s) attended?
Dates attended?
Date graduated?
Major/Course of Study?
Address:

EMPLOYMENT HISTORY (BEGIN WITH MOST RECENT)
Company Name:
Telephone Number:
Job Title:
Supervisor:
Reason for Leaving?
Company Name:
Telephone Number:
Job Title:
Supervisor:
Reason for leaving?

REFERENCES: 3 PEOPLE NOT RELATED TO YOU

(1.) Name:
Address:
City, State, Zip
Telephone:
Years Known?

(2.) Name:
Address:
City, State, Zip
Telephone:
Years Known?

(3.) Name
Address:
City, State, Zip
Telephone:
Years known?

If you have a resume, copy & paste it into the box below:

Resume:

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