Job Application

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

Phone *

Phone

(###)

###

####

Email Address *

Job Position You're Applying For *

What's Your Weekly Availability? *

How Many Hours Per Week Would You Like to Work? *

When Can You Start? *

Required Wage *

Are Your Employed Now? If So, Can We Enquire of Your Present Employer? *

Education *

Please List The High School, College and Other Educational Institutions You've Attended. Also The Name And Location of The Schools, The Number of Years You Attended, If You Graduated or Not, and The Subjects of Study.

What Special Training or Skills do You Posses? *

(i.e. Barista Training, ServSafe Certified, TIPS Certified Graphic Design, Languages, etc.)

Are You Currently A Student? Will You Be Staying In The Area During School Vacations/Holidays? *

Tell Us About Yourself *

Why Would it Be a Great Decision to Hire You? *

Please List Your Last Three Employers *

Include: Name of Employer, Starting Date, Leaving Date, Name of Supervisor, Title of Supervisor, Supervisor's Phone Number, Description of Work and Reason for Leaving the Job.

Please List Three References You Are Not Related to, Whom You Have Known at Least One Year. *

Please Provide Their Name, Last Name, Phone Number, Business Name and Number of Years Acquainted.

Are You ServSafe Certified? *

Yes

Are You Alcohol ServSafe or TIPS Certified? *

Yes

Authorization *

Please Sign/Type Your Name if You Agree With The Following: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."