Buckner's Job Application
Please complete the form below to apply for a position with us.
Full Name
First Name
Middle Name
Last Name
Age
Please Select
under 16
16-17
18-21
22-30
31-40
41+
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
Have you ever applied here Before?
Yes
No
List any Current Buckner's Crew Members that you may know and will give you a reference.
You may also list relation to these crew members.
Education
In School
Not in School
School Type
Public/Private
Home School
Current School Position
Please Select
In High School
Recent High School Graduate presently no College
In College
Recent College Graduate
Attending School / College
What school or college are you currently attending?
Are you involved in a School Work Release Program?
Yes
No
If "Yes" to School Work Release Program, explain hours that you can work.
School Related Extra Curricular Activities
Please any Sports, Programs, or Clubs you are involved in and any positions held.
Do you attend Church of any kind? This important due to scheduling!
Yes, Weekly
Yes, Occasionally
No
If "Yes" to church, then please explain where and what time of service.
What are you looking for?
Part Time - 29 or less hrs/wk
Full Time - 30 or more hrs/wk
Position Applied
Please Select
Back of House Management
Front of House Management
Back of House Crew Leader
Front of House Crew Leader
Hospitality/Front Counter/Host
Server
Food Expo/Togo
Curbside
General Front of House Position
General Back of Hose Position
Longevity of Position
Please Select
Short Term - 1-3 months
Mid Term - 6-12 months
Semi Long Term - 12 - 36 months
Long Term - 36 months +
We understand life and circumstances change, but how long would you plan to work with us?
Available Start Date
/
Month
/
Day
Year
Date
Are you working Currently?
Yes
No
If "Yes" to Working Currently
Where are you employed and what position is held?
Do you plan on working more that one job?
Yes
No
Maybe
Do you have a valid Drivers License
Yes
No
Transportation
I have my own Vehicle
I have Transportation that is not my own
I will need to rely on a current Crew Member for Trasportaion
Have you ever Plead Guilty to any Criminal Convictions?
Yes
No
If "Yes" and would like to offer any explanation, do so here.
You are no required to give any explanation.
Currently on any type of Probation?
Yes
No
Do you have any health Issues we should be made aware of?
If you have any other info that you feel is important for us to know, then please take the time to explain here.
Do you understand this job is a weekend and evening commitment!
I understand
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