Application for Employment
Name
*
First Name
Last Name
Date Available to Start
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Location
*
Please Select
Pico Rivera, CA
Hesperia, CA
Position
*
Please Select
Multiple
Bartender
Barback
Host
Server
Prep Cook
Line Cook
Busser
Food Runner
Drink Runner
Dishwasher
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you eligible for employment in the U.S.?
*
Yes
No
Are you 18 years or older?
*
Yes
No
If selected for employment, are you willing to submit to a pre-employment drug screening test?
*
Yes
No
Availability:
Choose your availability for each day
Monday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Tuesday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Wednesday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Thursday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Friday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Saturday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Sunday
*
Please Select
None
Mornings
Afternoons
Evenings
Full Availability
Submit
Should be Empty: