Employment Opportunities

Legal Age Requirement

Preferred Job Information

Preferred Position: Wait Staff Bartender Cook Other

Personal Information

Full Name: *

E-mail: *

Phone: *

Present Address

Address:

City:

State:

Zip:

Permanent Address (if different from present)

Address:

City:

State:

Zip:

Education

High School:

Years Attended: 1 2 3 4

College or Trade School:

Years Attended: 1 2 3 4 4+

Previous Employer #1

Name:

Address:

Phone Numer:

Position:

Start Date:

End Date:

Reason for Leaving:

Previous Employer #2

Name:

Address:

Phone Number:

Position:

Start Date:

End Date:

Reason for Leaving:

Reference #1

Name:

Address:

Occupation:

Years Known: 1 2 3 4 5 5+

Reference #2

Name:

Address:

Occupation:

Years Known: 1 2 3 4 5 5+

Any comments or additional information