Job Application"*" indicates required fieldsName* First Last Email* Present Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Are you 21 or older?* Yes NoDo you have a driver's license?* Yes NoWill you be driving your car to work?* Yes NoAre you legally eligible to work in the United States?* Yes NoHave you ever been arrested or convicted of a crime?* Yes NoIf "yes", please explain number of conviction(s), nature of offense(s), how recently offense(s) were committed, sentence(s) imposed, and type(s) of rehabilitation.Employment DesiredPosition Applying For:* Server Kitchen Bartender OtherDate You Can Start*Salary Desired*Are you employed now?* Yes NoIf so, may we contact your current employer? Yes NoWere you referred by anyone? Yes NoIf so, please tells us who referred you?How did you hear about working for us?AvailabilityWhat days are you able to work?Check the days you are available to work, then a field will appear to enter available hours you can work that day. Monday Tuesday Wednesday Thursday Friday Saturday SundayHours Available on MondayHours Available on TuesdayHours Available on WednesdayHours Available on ThursdayHours Available on FridayHours Available on SaturdayHours Available on SundayAre you able to work holidays? Yes NoHow many shifts per week would you like to work?Are you willing to work varied and flexible hours?About YouWhat current or future obligations affect your ability to work?Other commitments, another job, school, sports, etc.Where do you see yourself in a year?EducationHigh SchoolNameCity, StateNo. of years attendedDid you graduate? Add RemoveCollegeNameCity, StateNo. of years attendedDid you graduate? Add RemoveOther EducationNameCity, StateNo. of years attendedDid you graduate? Add RemoveU.S. or Military Service No Military Experience Air Force/Air Force Reserve Air National Guard Army National Guard Coast Guard/Coast Guard Reserve Marine Corps/Marine Corps Reserve Navy/Navy ReserveWhat is/was your rank?Present Membership in National Guard or Reservers:ReferencesReferences*Please list at least two references. Use the + icon to add additional fields.First NameLast NameCity, StatePhone Number Add RemovePrevious EmploymentFormer Employers*List your last three employers, starting with the last one first.DatesEmployer NameSalaryPositionReason for Leaving Add RemoveAdditional InformationIn Case of an Emergency NotifyNameRelationshipPhone Number Add RemovePlease check the box to agree to the statement below. This application's information is true and correct.*I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you and all information concerning my previous employment and any pertinent information they may have, and release all parties from liability for any damage that may result from furnishing same to you. I Agree.Signature*Date*
