Love Indy Bar & Grill Restaurant Application

1

Full Name* This field is required.

First Name

Middle Initial

Last Name

2

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

3

E-mail* This field is required.

example@example.com

4

Phone Number* This field is required.

5

Available start date:* This field is required.

Date

6

Are you authorized to work and remain in the United States?* This field is required.

Yes

No

7

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.* This field is required.

Yes

No

8

If Yes, Explain:

10

Position Apply For* This field is required.

11

Do You Have a Serve Safe Certification

YESNO

12

Do You Have a Liquor License

YESNO

13

Do You Have Reliable Transportation

YESNO

14

Have You ever been fired for missing too many days at work?

YESNO

15

Facebook Social Media Link

16

Instagram Social Media Link

17

Are you a High School Graduate?* This field is required.

Yes

No

18

High School Equivalency?

Yes

No

19

Are you presently attending school?

Yes

No

20

Type of Education

21

Do You Speak Any Other Language Besides English? If so what language ?

22

Current Pay Rate

23

Desired Pay Rate

24

Name of Employer:

First Name

Last Name

25

Job Title:

26

Address:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

27

Phone Number

28

Supervisor:

First Name

Last Name

29

Date started

Date

30

Date ended

Date

31

Reason for Leaving:

32

Description of Duties:

33

Do you have additional employers to enter?

Yes

No

34

Name of Employer:

35

Job Title:

36

Address:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

37

Phone Number

38

Supervisor:

39

Date started

Date

40

Date ended

Date

41

Reason for Leaving:

42

Description of Duties:

43

Inquiry may be made of your current and former employers/schools you attended.

44

May we contact your present employer?

Yes

No

45

May we contact your former employers?

Yes

No

46

Full Name

First Name

Last Name

47

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

48

Business or Occupation

49

Phone Number

50

Upload Resume

Drag and drop files here

Select files to upload

Max. file size: 10.0MB

51

Safe Serv Documentation

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

52

Copy of Liquor License

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

53

Upload a Self Image * This field is required.