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Application for Employment

Select position applying for: (required)

First Name (required)

Last Name (required)

Address 1

Address 2

City

State

Zip Code

Home Telephone (required)

Work Telephone

When can you start?

Are you 18 or older?

Yes

No

1.  Are you currently employed?

Yes

No

If so, may we call your present employer for a reference?

Yes

No

Name

Address

Occupation

Years Known

2.  REFERENCES: Name two people not related to you that would be willing to provide a reference for you.

WORK HISTORY

Please list your last two places of employment or your last two places of employment at a restaurant/bar.

EDUCATION BACKGROUND

I hearby certify that all information on this online form is correct and complete to the best of my knowledge.  I hearby authorize an investigation into all statements contained in this document including a complete background investigation in accordance with state and federal laws.  I understand that a background check may be made including, but not limited to, criminal, driving, employment, military, education, and general public records.  I hearby authorize my former/current employers, educational institutions, or individuals named on this application to furnish all information pertaining to my work or educational record, and I hold them harmless of any liability or damages from release of said information.

If an employment relationship is created, I understand that the employment relationship will be “at-will” and as a new employee, I will be under a 90 day probation which at any time either I or my employer will be able to terminate the employment relationship at anytime and without cause.  With appropriate notice, I will have the fill and complete discretion to end the employment relationship when I choose and for reasons of my choice.  Similarly, my employer will have that right.

By typing both my name and date below, I hearby certify that I have carefully read the above certification and I understand and agree to its terms.

3. In case of emergency notify:

Address

Employer

Employer Address

Job Title

Description of responsibilities

From: (Mo/Yr)

To: (Mo/Yr)

Salary: Beginning:

$

Ending:

$

Name of Supervisor

Reason for leaving: (if still employed, state reason for seeking other employment)

Employer

Employer Address

Job Title

Description of responsibilities

From: (Mo/Yr)

To: (Mo/Yr)

Salary: Beginning:

$

Ending:

$

Name of Supervisor

Telephone

Reason for leaving: (if still employed, state reason for seeking other employment)

Provide the highest level of education last attended, name of school, major/minor and if you graduated.

Email

First and Last Name (required)

Upload your resume.     Note: (A resume is preferred along with the online application but is not necessary).

Country

Telephone

Telephone

Telephone

Date (required)

Please enter your email address below if you would like to receive a confirmation email confirming that we have received your application for employment.

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