Employee Application Employee Application Name* First Middle Last Birth Date* Date Format: MM slash DD slash YYYY Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email Desired Position* Bagger Bar-back Bartender Busser Carryout Driver Expo Food Runner Food Truck Hostess Manager Multimedia Specialist Prep Sales Server Date Available* Date Format: MM slash DD slash YYYY Work Availability* Days Nights Weekdays Weekends Check all that applyDesired SalaryAre you a citizen of the United States?*YesNoAre you authorized to work in the U.S.?*YesNoHave you ever worked for this company?*YesNoWhen did you work for us?*EducationHigh SchoolFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDegreeCollegeFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDegreeOtherFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDegreeReferencesFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressPrevious EmploymentCompanyPhoneAddressStarting SalaryEnding SalaryResponsibilitiesForm Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference?YesNoCompanyPhoneAddressStarting SalaryEnding SalaryResponsibilitiesForm Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference?YesNoCompanyPhoneAddressStarting SalaryEnding SalaryResponsibilitiesForm Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference?YesNoMilitary ServiceBranchForm Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Rank at DischargeType of DischargeDisclaimerI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.* I agree Untitled First Choice Second Choice Third Choice Untitled First Choice Second Choice Third Choice
