The Grille at The Train Station

The Grille at The Train Station

Employment Application
Full Name

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
E-mail
Phone Number
Format: (000) 000-0000.
Available start date:

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Are you authorized to work and remain in the United States?
Have you ever worked for this company?
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.
If Yes, Explain:

Availability, Check the shifts you are available

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Tuesday
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Position Apply For
Part Time or Full Time
Desired Salary
Education:
Are you a High School Graduate?
Are you presently attending school?
Highest completed level of education:
Employment History

Beginning with your present or most recent experience, account for all employment during the past ten (10) years. To elaborate a resume may be attached. If no prior employment please put N/A in required fields. Include military service if applicable.
Name of Employer:

First NameLast Name
Job Title:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Supervisor:

First NameLast Name
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
Name of Employer:
Job Title:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Supervisor:
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
Inquiry may be made of your current and former employers/schools you attended.
May we contact your present employer?
May we contact your former employers?
Personal Reference
Full Name

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState

Zip Code
Occupation
Phone Number
Format: (000) 000-0000.
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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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The Grille at The Train Station

Education:

Employment History

Personal Reference