Employment Form

Job Application

Contact Info

Are You A Citzen Of The United States 

Yes 

No 

If No, Are You Authorized to work in U.S.

Yes 

No 

Do you have a car/reliable transportation

Yes 

No 

Do you have a cell phone 

Yes 

No 

Do You Smoke 

Yes

No

Have you ever worked for this company 

Yes 

No 

If yes, when 

Have you ever been convicted of a felony?

Yes 

No 

If yes, explain 

Experience

Employer 1 (Most Recent)

May we contact your previous supervisor for a reference

Yes 

No 

Employer 2

May we contact your previous supervisor for a reference 

Yes

No

Employer 3

May we contact your previous supervisor for a reference?

Yes

No

Education

School 1 (Most Recent)

Did You Graduate?

Yes 

No 

School 2

Did you graduate?

Yes

No

School 3

Did you graduate?

Yes

No

References 

Other related Skills 

(Include if you are currently TAM or Alcohol Certified, ServSafe Certified

Schedule Of Availability

Hours of operation are from 11:00 AM to 2:00 AM daily Scheduled shifts can vary from 9:00 AM until CLOSE 

Double-click here to add a label

Monday 

Tuesday 

Wednesday 

Thursday

Friday 

Saturday 

Sunday 

Day Shift or Evening Shift 

Morning Shift 

Evening Shift