Mile 61 Employment Application Form

MILE 61 ECLECTIC TAVERN

EMPLOYMENT APPLICATION

ALL SECTIONS MUST BE COMPLETED FOR APPLICATION TO BE CONSIDERED
APPLICANT INFORMATION
E-mail:
Full Name:

First NameMiddle InitialLast Name
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Are you over 18 years of age?
What position are you applying for?
Available start date:

MonthDayYear
Are you a U.S. citizen?
If no, are you authorized to work in the United States?
Have you ever been convicted of any crime? (Answering yes will not prevent you from being considered)
If you answered yes above, please briefly explain the circumstance(s):

EDUCATION
Name of your High School:
Name of your College:
Did you graduate or earn a G.E.D.?
Please list any ServeSafe/TIPS/Choking/First Aid certifications you currently hold:

I certify that my answers are true and complete to the best of my knowledge and that all sections on this application have been completed. I am aware that my application may not be considered if it is incomplete. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release.
Type your FULL name:
Enter the message as it's shown:
Should be Empty:

APPLICANT INFORMATION