Employment Application Form

Employment Application
Name*

First NameLast Name
Date

MonthDayYear
Date
Birth Date

MonthDayYear
Phone Number*
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Desired*

ManagerStaff LeadBartenderServerHostChefLine CookDishwasherFood RunnerOther
You are interested in:*

Full TimePart TimeTemporary
Wage or Salary Desired
Weekly/Hourly
Availability: (Please type open if no restrictions)
How were you referred to us?

Walk-InReferralFriendFacebookInstagramOther (please specify)
Have you ever been employed by City Lines?*

NoYesIf yes, provide dates: (please specify)
Do you have any friends or relatives employed by City Lines?*

NoYesIf yes, provide name: (please specify)
Former Employers

Please list three (3) former employers.
Former Employer (1)
Former Employer (2)
Former Employer (3)
References

Please list two (2) references that are familiar with your work life.
Reference (1)*
Reference (2)*
If available, upload your resume:

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Should be Empty: