Employment Application

Name*

First Last

Birth Date*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Employment Details

Available Start Date*

Desired Salary / Per Hour*

Position Applied For:*

Service Staff
Cashier Staff
Cook/Prep
Pit Crew
Dishwasher
FOH Supervisor
Sous Chef
BOH Management

Are you a U.S. Citizen?*

Yes
No

If no, are you authorized to work in the United States?

Yes
No

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain.

Education Details

Name of High School

When did you attend this high school?

Did you graduate from High School?

Yes
No

Did you attend college or an another institution? If so, list it here.

When did you attend this College or Institution?

Did you graduate from this College or Institution?

Yes
No

Degree

Additional Skills or Training

Please list skills and explain

Did you serve in the military?

Branch of Service

When?

Rank at Discharge

Honorable Discharge?

Yes
No
Other

If other than honorable, please explain:

Previous Employment

Most Recent Company

Job Title

Dates of Employment

Address

City State / Province / Region

Supervisor's Name

Company Phone

Starting Salary

Ending Salary

Responsibilities

Reason for leaving

May we contact this employer?

Yes
No

Company Before That

Job Title

Dates of Employment

Address

City State / Province / Region

Supervisor's Name

Company Phone

Starting Salary

Ending Salary

Responsibilities

Reason for leaving

May we contact this employer?

Yes
No

Professional References

Reference #1: First and Last Name

Company

Phone

Relationship

Address

City State / Province / Region

Reference #2: First and Last Name

Company

Phone

Relationship

Address

City State / Province / Region

Reference #3: First and Last Name

Company

Phone

Relationship

Address

City State / Province / Region