Hometown Hospitality Employment Application

Location

Full Moon Diner & Saloon Pub 111 Smash Wine Bar & Bistro
Position applying for: *

Server Bartender Cook Other
Available Start Date

Month Day Year
Date
Full Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Phone Number *
Are you a U.S. citizen or approved to work in the United States? *

Yes No
Have you ever been convicted of a felony? *

Yes No
If yes, explain:
Name of High School, Location (city & state), Graduation Year: *
Name of College, University or Trade School, Location (city & state), Graduation Year (if not applicable, put "none"): *
Did you serve in the military? *

Yes No
If yes, please list Branch, Dates of Service, Rank at Discharge, Type of Discharge:
1-Previous Employer Business Name, Location (city & state), Dates Employed, Job Title/Responsibilities:
2-Previous Employer Business Name, Location (city & state), Dates Employed, Job/Title Responsibilities:
If you have ever worked for a Hometown Hospitality business, please list location and dates.
If you were referred by a Hometown Hospitality employee, please list their name(s).
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