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About
Thank you for your interest. Please fill out and submit the form below.
Date:
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Applicant Information
Name (Last, First, MI):
*
Address
Street:
*
Street 2:
Suite or Apt Number
City:
*
State:
*
Two letter abbreviation.
Zip Code:
*
Telephone:
*
Your phone number in (XXX) XXX-XXXX form.
Date of Birth:
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How did you find out about this job?:
Newspaper
Employee
Walk-in
Other
If Other, please specify:
Position applied for:
*
Are you 18 years of age or older?:
*
Yes
No
Are you a U.S. citizen?:
*
Yes
No
Are you prevented from lawfully becoming employed in this country because of a visa or immigration status?:
*
Yes
No
Education
High School
School:
City:
# of years attended:
Did you graduate?:
Yes
No
College
School:
City:
# of years attended:
Did you graduate?:
Yes
No
Graduate School
School:
City:
# of years attended:
Did you graduate?:
Yes
No
Past Employment History
List your last 3 employers, beginning with the most recent.
Employer #1
Name of company:
Address:
Dates of Employment
From:
month
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Position:
Duties:
Starting Salary:
Final Salary:
Reason for leaving:
Contact person name & telephone:
Employer #2
Name of company:
Address:
Dates of Employment
From:
month
January
February
March
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November
December
day
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To:
month
January
February
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May
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November
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day
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Position:
Duties:
Starting Salary:
Final Salary:
Reason for leaving:
Contact person name & telephone:
Employer #3
Name of company:
Address:
Dates of Employment
From:
month
January
February
March
April
May
June
July
August
September
October
November
December
day
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To:
month
January
February
March
April
May
June
July
August
September
October
November
December
day
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Position:
Duties:
Starting Salary:
Final Salary:
Reason for leaving:
Contact person name & telephone:
Personal References
Reference #1
Name:
Address:
Occupation:
Telephone:
Reference #2
Name:
Address:
Occupation:
Telephone:
General
What skills do you possess that qualify you for this job?:
Have you ever worked in a dining establishment?:
Yes
No
If yes, when and where?:
What do you consider the most important aspect of the food service industry?:
Do you possess any knowledge about wine and wine service?:
Yes
No
If yes, please describe briefly:
What do you think is your best quality?:
Are you seeking:
*
full time
part time
temporary
Are you willing to work:
weekends
holidays
Have you been convicted of a felony within the last five years?:
Yes
No
If yes, please state the nature of the offense and disposition of the case, including all dates and places.:
(Note: the existence of a criminal record does not constitute an automatic ban from employment)
Availability
List Below Days & Hours Available
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
What is the fifth word in the phrase "mapa aqay esenop igukah igi"?:
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