Prima Employment Form

Prima Employment Form
We are looking to build our team with hard-working and energetic servers, hosts, bartenders, and support staff who are detail-oriented, have positive attitudes, and strong communication skills, and take genuine pleasure in “making their day.” If you want to be a part of a close-knit community revolving around creative food & beverage and neighborhood hospitality, then let’s chat! Full-time and part-time hours are available in all departments. Please click and fill out our employment form below.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Are you at least 18years of age?*

YesNo
Are you authorized to work in the United States?*

YesNo
If you could only choose one meal to have forever, what would it be and why?*
Describe a moment of failure in your life and how you overcame/responded to it. *
What would you like to learn about in a restaurant and why?*
Rate your level of interest in the following: (Rating Scale, 1-5. 1=Not Interested, 5=Extremely Interested)*

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Employment Desired:
Position Applying For:*
Date You Can Start*

MonthDayYear
Availability*

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
Desired In-Time*

:HourMinutesAM/PM Option
Number of shifts desired per week
Have You Worked Here Before?*

YesNo
Have You Applied Here Before?*

YesNo
Education:
High School
Name of High School Attended
Number of Years Attended
Graduated?

Yes
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Graduate School
Name of Graduate School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Reason for Leaving?
Start Date

MonthDayYear
May We Contact?

YesNo
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

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Send Application:
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
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