Job Application
Please complete the form below to apply for a position with us.
Today's Date
*
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Current Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
example@example.com
Phone Number
*
Restaurant you are applying for?
The Purple Onion
The S.P.O.T.
How did you hear about us
Please Select
Referral
Facebook
Indeed
Craigslist
Other
What position(s) are you applying for?
*
Are you seeking:
*
Temporary
Full-time
Part-time
What hours and shift(s) would you prefer to work?
*
What hours or shift(s) would you prefer not to work?
*
Are you willing to work overtime?
Yes
No
Are you willing to work weekends?
*
Yes
No
Are you willing to work holidays?
Yes
No
Are you currently employed?
Yes
No
Available Start Date
*
/
Month
/
Day
Year
Date
Minimum Salary Expected
Are you at least 18 years old?
*
Yes
No
Are you legally eligible for employment in the US?
*
Yes
No
Have you been convicted of a crime?
*
Yes
No
If yes state the nature of the offense and disposition ofthe case. (NOTE: The existence of a criminal record does not constitute an automatic bar to employment.
Have you ever been discharged or asked to resign from any position?
Yes
No
If yes, please describe:
Job History
Please list your last three employers. Begin with most recent.
1. Company
*
City & State
*
Reference Name & Number
Dates of Employment
Start to End
Job Title
*
Describe Duties
*
Pay
*
Start to End
Reason for Leaving
*
2. Company
City & State
Reference Name & Number
Dates of Employment
Start to End
Job Title
Describe Duties
Pay
Start to End
Reason for Leaving
3. Company
City & State
Reference Name & Number
Dates of Employment
Start to End
Job Title
Describe Duties
Pay
Start to End
Reason for Leaving
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