Name *

First Name

Last Name

Date

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

If Younger than 21, Date of Birth

Proof of age will be required if younger than 18

MM

DD

YYYY

Are you Legally Entitled to Work in the USA? *

Proof will be required if employed

Yes

No

Type of Employment Sought *

Full Time

Part Time

Seasonal Only

Restaurant employees are required to work weekeds and evenings. Are you prepared to accept such a work schedule? *

Yes

No

Indicate nights are are available or would like to work. (Our shifts start at 3:30 for wait staff, 2:00 for kitchen.) *

Check off which nights you ARE available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Employed From:

MM

DD

YYYY

Date Employed To:

MM

DD

YYYY

Supervisor

First Name

Last Name

Phone Number

(###)

###

####

Please do not contact

Date Employed From

MM

DD

YYYY

Date Employed To

MM

DD

YYYY

Supervisor

First Name

Last Name

Phone Number

(###)

###

####

Please do not contact

Date Employed From

MM

DD

YYYY

Date Employed To

MM

DD

YYYY

Supervisor

First Name

Last Name

Phone Number

(###)

###

####

Please do not contact