subject_line
Personal Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip Code
*
Phone
*
Email Address
*
Position Applying For
*
Waitress/Waiter
Cashier
Cook
Dishwasher
Are you legally authorized to work in the United States?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain.
Availability
Type of Employment
*
Temporary
Seasonal
Part-Time
Full-Time
Days Available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time Availability
*
Employment and Education History
Employer 1
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 2
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
High School Education
Name of School
*
Graduation Month/Year
*
+
Secondary Education
Did you attend?
*
Yes
No
Name of School
Graduation Month/Year
+
References
Reference 1
Name
Title
Email Address
Phone
Reference 2
Name
Title
Email Address
Phone
Please submit a copy of your resume.
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