Up North Axe & Tap - Application Form

Name:*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistOther (please specify)
Others:
Upload Resume:

Upload a File

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Job Skills & Training
Describe your skills:*
Training or Certifications:
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Position/s of Interest (Please select all that apply)*

Mixologist/BartenderWait StaffHost/HostessManagerCooksRunnersKitchen LineDishwasherBusser
Days Available*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
Times Available (all positions must work min of 6 hour shifts except for Host/Hostess and Bussers)*

10am-5pm10am - 11pm10am-1am11am - 2am3pm-11pm2pm - 12am3pm - 12amOther
Should be Empty: