Equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals.

Join Our Family

We want you to have fun while you work. We are a family, not just a group of co-workers.

Full Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Email

example@example.com

Position(s) applying for

Casher/Server Cook Food Runner Prep cook Dishwasher

Wage expectations

Salary or Hourly?

Referral source

Are you over the age of 18? *

YES NO

Are you eligible to work in the United States? *

YES NO

Are you currently employed? *

YES NO

Date available for work *

Month Day Year

Circle shift you are availble to work

	Available	Time?
Mon
Tue
Wed
Thurs
Fri
Sat

Are you available to work?

Full time Part time Shift work Temporary

Have you been convicted of a felony/misdemeanor (other than traffic violations)? *

YES NO

If so, provide the location, date and result/outcome for each conviction: *

EDUCATION

Highest level of education completed: *

Please complete the appropriate sections

	Name & Location of School	Number of Years Attended	Did You Graduate?	Degree or Certification
GED / High School
Trade School
College
Graduate

WORK HISTORY

Please list your four most recent employers, list the most recent first

1. Most recent Employer

Employer's Name (Most current)

Address & location of business

Your title

May we contact this employer?

YES NO

Supervisor's name

First and Last Name

Phone number

Area Code Phone Number

Start date

Month Day Year

End date

Month Day Year

Wages START:

Salary or Hourly

Wages END:

Salary or Hourly

Work performed:

Reason for leaving

2. Employer

Employer's Name (Second most recent)

Address & location of business

Your title

May we contact this employer?

YES NO

Supervisor's name

First and Last Name

Phone number

Area Code Phone Number

Start date

Month Day Year

End date

Month Day Year

Wages START:

Salary or Hourly

Wages END:

Salary or Hourly

Work performed:

Reason for leaving

ADDITIONAL INFORMATION

List job-related accomplishments, projects, and awards. (Exclude information that would reveal race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status.)

List any additional information you would like us to consider: