Fill in the information below
Please be accurate
Applicant Information
First Name
*
Last Name
*
Middle Initial
Date
Are you 21 or older
*
Yes
No
Address
*
Apt. Number
City
*
State
*
Zip
*
Cell Phone
*
Alt. Phone
Email
*
Date Available To Work
*
-
Month
-
Day
Year
Date
Position Applied For
*
Cashier
Cook
Head Chef
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Education
High School
Address
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Did you graduate?
Yes
No
College
Address
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Did you graduate?
Yes
No
Degree
References
Name
First Name
Last Name
Relationship
Company
Phone Number
-
Area Code
Phone Number
Name
First Name
Last Name
Relationship
Company
Phone Number
-
Area Code
Phone Number
Previous Employment
Company
Address
Phone Number
-
Area Code
Phone Number
Supervisor
Job Title
Responsibilities
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Reason for Leaving
May we contact your supervisor for a reference?
Yes
No
Company
Address
Phone Number
-
Area Code
Phone Number
Supervisor
Job Title
Responsibilities
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Reason for Leaving
May we contact your supervisor for a reference?
Yes
No
Profile Data
Are you currently employed
*
Yes
No
Can you speak more than one language?
*
Yes
No
If so, list which languages you can speak
Identification Section
Do you have a valid Government issued ID
*
Yes
No
Do you have a valid Drivers License
*
Yes
No
Do you have a Health Card?
*
Yes
No
Do you have a TAM Card?
*
Yes
No
Do you have a Sheriff's Card?
*
Yes
No
How Did You Hear About Battle Born Burgers?
Please Select
Please select...
Flyer
Internet
Social Media
Social Service/Government Agency
TV/Radio
Word of Mouth
Other
If other, please explain:
Disclaimer and Signature
I certify that my answers are correct to the best of my knowledge. If this application leads to employment I understand that false information in my application or my interview may result in my release.
Signature
Submit
Should be Empty: