Form
Your Name
First Name
Last Name
Your Birth Date
-
Month
-
Day
Year
Date
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Available To Start
-
Month
-
Day
Year
Date
Desired Pay (Enter Amount in Dollars)
Pay Type:
Hourly
Salary
Position Applied For (Check All That Apply)
Wait Staff
Back of House
Cook(s) (16+)
Kitchen Support
Employment Type Desired
Full-Time
Part-Time
Seasonal
Are You Legally Eligible to Work in the U.S?
Yes
No
Have You Ever Been Convicted of a Felony?
Yes
No
If Yes, Please Explain
High School You Are Attending or have Graduated From (if applicable)
City & State
Start Date at School
-
Month
-
Day
Year
Date
End Date At School
-
Month
-
Day
Year
Date
Did You Graduate?
Yes
No
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College You Are Attending or have Graduated From (if applicable)
City & State
Start Date at Institution
-
Month
-
Day
Year
Date
End Date at Institution
-
Month
-
Day
Year
Date
Did You Graduate
Yes
No
What Is Your Degree In?
Name of Secondary College or Training Instutution
City & State
Start Date at Institution
-
Month
-
Day
Year
Date
End Date at Institution
-
Month
-
Day
Year
Date
Name Of Degree or Certification
Previous Employer 1 (if applicable)
Name Of Person or Company
Previous Employer 1 Email (if applicable)
example@example.com
Previous Employer 1 Contact Phone (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Previous Employer 1 Address (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Starting Pay At Your Previous Position (if applicable)?
Enter Amount In Dollars
Was It Hourly or Salary?
Hourly
Salary
Ending Pay At Your Previous Position (if applicable)?
Enter Amount In Dollars
Was It Hourly or Salary?
Hourly
Salary
What Was Your Job Title (if applicable)?
What Were Your Responsibilities (if applicable)?
Start Date (if applicable)
-
Month
-
Day
Year
Date
End Date (if applicable)
-
Month
-
Day
Year
Date
Reason For Leaving
Previous Employer 2 (if applicable)
Name Of Person or Company
Previous Employer 2 Email (if applicable)
example@example.com
Employer 2 Contact Phone (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Employer 2 Address (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Starting Pay (if applicable)
Ener Amount In Dollars
Was It Hourly or Salary?
Hourly
Salary
Ending Pay
Enter Amount In Dollars
Was It Hourly or Salary?
Hourly
Salary
Job Title (if applicable)
Responsibilities (if applicable)
Starting Date (if applicable)
-
Month
-
Day
Year
Date
Ending Date (if applicable)
-
Month
-
Day
Year
Date
Reason For Leaving
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Reference 1 Name
First Name
Last Name
Relationship to You
Company Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Name
First Name
Last Name
Relationship To You
Company Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 3 Name
First Name
Last Name
Relationship To You
Company Name
Title
Email
example@example.com
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Are You A Veteran?
Yes
No
Military Branch
Rank At Discharge
Enlisting Date
-
Month
-
Day
Year
Date
Discharge Date
-
Month
-
Day
Year
Date
Type of Discahrge
Please Select
Honorable
Under Honorable Conditions
General Discharge
Other Than Honorable Conditions
Bad Conduct
Dishonorable
Uncharacterized
If Not Honorable, Please Explain
If Asked, Are You Willing to Consent to a Background Check?
Yes
No
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Continue
Continue
Signature
Today's Date
-
Month
-
Day
Year
Date
Printed Name
Please Type Your Full Name Here
Should be Empty: