Commonwealth Employment Application
Name
*
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2026
2025
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1926
1925
1924
1923
1922
1921
1920
Year
Phone Number
*
Format: (000) 000-0000.
Social Security Number
*
Email
*
example@example.com
Emergency contact Name
*
First Name
Last Name
Emergency contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact Relation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What position are you applying for?
*
Front of House
Back of House
Coffee
Management
In the past 5 years have you ever been convicted of a crime, excluding misdemeanors and traffic violations? (A conviction will not necessarily bar you from employment.)
*
Yes
No
If yes, please explain
Are you legally able to serve alcohol?
*
Yes
No
Are you legally able to work in the US?
*
Yes
No
Total Hours available
Monday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Monday — Available or Unavailable
*
Available
Unavailable
Tuesday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Tuesday — Available or Unavailable
*
Available
Unavailable
Wednesday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Wednesday — Available or Unavailable
*
Available
Unavailable
Thursday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Thursday — Available or Unavailable
*
Available
Unavailable
Friday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Friday — Available or Unavailable
*
Available
Unavailable
Saturday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Saturday — Available or Unavailable
*
Available
Unavailable
Sunday — Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
until
until
Hour Minutes
AM
PM
AM/PM Option
Sunday — Available or Unavailable
*
Available
Unavailable
How were you referred to us?
*
Walk-In
Referral
Instagram
Facebook
Resume and Files
Upload a File
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Choose a file
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of
Training and Certifications
Prior Experiance
Company
Location
Dates Worked From
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Dates Worked To
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Position
Supervisor
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reason for leaving
Do you have now or have you had within the last six months any contagious or communicable diseases, or gastrointestinal infections which according to the law might prevent you from working as a food handler or server?
*
Yes
No
I certify that the information above is correct to the best of my knowledge and understand that any falsification, material omission or misrepresentation of the information may constitute grounds for dismissal. I authorize my former employers and other individuals to give the company information concerning me. If requested to do so, I agree to submit to a physical examination which I must successfully pass as a condition of being accepted for employment. If I become employed, I will be free to terminate my employment at any time for any reason and the company retains the same right. If I don’t hear from the company for four (4) weeks after my application date, I understand that I am not under consideration of possible employment anymore.
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
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