APPLICATION FOR EMPLOYMENT

Please fill out the following application. If you are applying for
a server or manager position, there is a quiz following this form.

General Info
* First Name If under 18, please list age
* Last Name If you will be serving alcohol, are you at least 21?
Middle Name
* Address 1 Schedule Info
Address 2 Days/Hours Available to Work
* City No Pref. Thursday
* State Monday Friday
* ZIP Tuesday Saturday
* Telephone Wednesday Sunday
* Position Desired * How many hours can you work weekly?
Salary Desired * Can you work nights?
* Prim. Location * Employment desired
Sec. Location * Are you willing to travel?
* If so, how far?

Educational Background
Type of School Name of School Location Number of Years Completed Major and Degree
High School
College
Bus. or Trade School
Professional School

Criminal Background
* Have you ever been convicted of a crime?
You may answer "No" if your criminal record consists of only one or more of the following: (a) a sealed record; (b) a case of delinquency or a child in need of services which did not result in a criminal complaint; (c) an arrest, detention, or disposition which did not result in a conviction; (d) a first misdemeanor offense for speeding, minor traffic offenses, etc.
If Yes, describe:

Work Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. The day number for start and end dates can be approximate.
* May we contact your present employer?
Name of Employer Name of Last Supervisor
Address City
State ZIP
Phone Last Job Title
Start Date Start Date Starting Salary
End Date End Date Ending Salary
Reasons For Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Name of Employer Name of Last Supervisor
Address City
State ZIP
Phone Last Job Title
Start Date Start Date Starting Salary
End Date End Date Ending Salary
Reasons For Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Name of Employer Name of Last Supervisor
Address City
State ZIP
Phone Last Job Title
Start Date Start Date Starting Salary
End Date End Date Ending Salary
Reasons For Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

Additional Info
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
Upload Resume
How You Heard About Us

References
Please list two references other than relatives or previous employers
Name Name
Telephone Telephone

PLEASE READ CAREFULLY:APPLICANT'S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize any previous employer to release information contained in my employment records to this employer.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

*

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.