Brooklyn's Application for Employment

Date:

Date

Name (Last, First, Middle) *

Phone Number *

Email Address *

Address (Street, Number, City, State Zip) *

Are you at least 18 years old? *

If not at least 18 years old, provide date of birth *

Position you are applying for *

Hostess Server Bartender FOH management Line cook Dishwasher BOH management

Are you applying for a full or part time position? *

What hours, if any, are you are not available to work? *

Will your availability change based on school seasons? *

Do you have a high School diploma or General Equivalency Diploma? *

Please list any College, Trade, Specialty education completed and the year completed

Are you authorized to work in the U.S.A.? *

Have you ever been convicted of a crime? Certain positions within the organization will require applicant's driving record, criminal record, and/or credit history *

If yes, what was the crime, where and when?

Do you have reliable transportation to and from work during hours when public transportation may not be available? *

Do you smoke? *

Have you participated in an alcohol awareness program in Arizona? *

If so, when does your certification expire?

List any leadership positions you have held:

List extra-curricular activities you are, or have been involved in:

List any honors or awards you have received:

Define what superior customer service means to you: *

Where do you see yourself in 5-years? *

How do you think this position can help you meet your goals? *

Rate yourself in the following areas with the scale of 1 being untrained and 10 being completely proficient:

Knowledge of wine and wine pairing with food: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Knowledge of common cocktails: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Knowledge of table service etiquette: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Stamina (ability to work on your feet for long shifts/ lift 40lbs/ bending/ reaching/ etc.): *

	1	2	3	4	5	6	7	8	9	10
Unable											Completely able

Food knowledge: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Problem Solving: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Beverage and plate carrying ability with trays: *

	1	2	3	4	5	6	7	8	9	10
Untrained											Completely proficient

Last or present employer name and address *

Date started and ended employment *

Position *

Supervisor name *

Wage *

Reason for leaving *

Next prior employer name and address

Date started and ended employment

Position

Supervisor name

Wage

Reason for leaving

Next prior employer name and address

Date started and ended employment

Position

Supervisor

Wage

Reason for leaving

Please list any additional information that you think may be helpful.

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