Thank You For Applying to Billy's Bar & Grill
Billy's Bar & Grill is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local,state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Personal Information
Date
*
-
Month
-
Day
Year
Date
Full Name
*
First Name
Middle Initial
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
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Are you a citizen of the United States?
*
Yes
No
If you answered no to the question above...Are you authorized to work in the U.S.?
Are you a member of the Armed Services?
*
Yes
No
Have you been convicted of a felony?
*
Yes
No
Employment
Employment position you are applying for (select all that apply):
*
Cook
Dishwasher
Server
Bartender
List the days/times you are available to work (please be specific):
*
Ex: Monday - Friday from 4pm-10pm
Available Start Date
*
/
Month
/
Day
Year
Have you worked in the food or hospitality industry prior to this application?
*
Yes
No
Education
Name of High School
*
Location of High School
*
City
State / Province
Postal / Zip Code
Year Graduated
*
Degree Earned
*
Please Select
GED
Diploma
None
Other
Name of College/University/Vocational School or Training
Location of College/University/Vocational School or Training
City
State / Province
Postal / Zip Code
Year Graduated
Degree Earned
Please Select
Certificate
Associate's
Bachelor's
Master's
Doctoral
None
Other
Employer Information
Employer Name
*
First Name
Last Name
Job Title & Salary
*
Responsibilities
*
Supervisor Name
*
First Name
Last Name
Employer Phone Number
*
Please enter a valid phone number.
Employer Address
*
City
State / Province
Postal / Zip Code
Dates Employed:
*
Ex: May 2024 - January 2025
Reason For Leaving:
*
May we contact your previous supervisor?
*
Yes
No
References
List a PERSONAL reference with the following: Name, Phone Number, Email, and Relationship
*
Personal Reference
List a PROFESSIONAL reference with the following: Name, Phone Number, Email, and Relationship
*
Professional Reference
Signature
Billy’s Bar & Grill in Neodesha is referred to as “employment at will”. This means that your employment can be terminated at any time for anyreason, with or without cause, with or without notice, by you or Billy’s Bar & Grill. By signing this application, you understand that youremployment is “at-will”, and that you acknowledge that no oral or written statements or representations regarding your employment can alteryour “at-will” employment status.
Applicant Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: