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

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Zip Code
E-mail*
Phone Number*
Available start date:*

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Are you authorized to work and remain in the United States?*

YesNo
Have you ever worked for this company?

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:

Availability, Check the shifts you are available

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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Position Apply For*
Part Time or Full Time*

Part TimeFull Time
Desired Salary
Education:
Are you a High School Graduate?*

YesNo
Are you presently attending school?

YesNo
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
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
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?

YesNo
May we contact your former employers?

YesNo
Personal Reference
Full Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Occupation*
Phone Number*
Upload Resume*

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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