Employment Application

Name

Phone

Email

Address

City

State

Zip Code

Position Applying For

Minimum Earnings Required

Would you like Full or Part-Time?

Full-Time Part-Time

Please list preferred shifts

If hired, when can you begin?

Can you furnish proof of your right to work in the U.S.?

Yes No

Are you of legal age to serve alcohol?

Yes No

Have you interviewed with us before?

Yes No

Were you previously employed by us?

Yes No

Have you ever been convicted of a felony?

Yes No

References

References #1 Name and number

References #2 Name and number

Employment History

*Name of company *Dates Employed To and From *Describe Duties *Your salary, hourly, (start and end)
*Type of Business *Your Job Title: *Your Supervisor *Company Address *Contact *Reasons for leaving

Employer #1

Employer #2

Enter Security Code

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