Employment Application Form

Availability (please check all shifts willing to work)

Available start date:*

MonthDayYear
What type of employment are you seeking?

Full TimePart Time
Are you authorized to work and remain in the United States?

YesNo
Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo
If Yes, Explain:
Position Apply For
Education:
Are you a High School Graduate?

YesNo
High School Equivalency?

YesNo
Are you presently attending school?

YesNo
Type of Education
Current/Prior Employment
Name of Employer (current or most recent):
Job Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Supervisor:

First NameLast Name
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
May we contact your present/previous employer?

YesNo
Personal References
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number
Upload Resume (if so desired)

Cancelof
Should be Empty:

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Days (11am to 5pm)
Evenings (5pm to 11pm)

Restaurant Application Form