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
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Month
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Date
Full Name
*
First Name
Middle Initial
Last Name
Birth Date
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Day
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Year
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
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.
Format: (000) 000-0000.
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
*
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Month
-
Day
Year
Date
Submit
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