Employment Application Name* First Last Address* Street Address Address Line 2 City Cell Phone*Other PhoneEmail* Referred ByDate You Can Start* Date Format: MM slash DD slash YYYY Position Desired* Bartender Waitstaff Cook MUST BE 21 OR OLDER TO BE CONSIDERED FOR EMPLOYMENTAre you currently employed?*YesNoCan we call your current employer?*YesNoAre you legally authorized to work in the United States of America?*YesNoHave you ever been arrested for or charged with a crime?*YesNoEmployment History*Date HiredDate LeftName of EmployerPositionSalaryReason for Leaving please list at least one employerReferences*NameYears KnownBusinessPhone please list at least one referenceSpecial SkillsCertificationsDays/Times AvailableMonday AM PM Tuesday AM PM Wednesday AM PM Thursday AM PM Friday AM PM Saturday AM PM Sunday AM PM Signature*I hereby acknowledge that the information on this application is accurate and understand that providing false information is grounds for termination. I give my consent to a background check, including but not limited to criminal as a condition of employment. We are an equal opportunity employer and promote a drug-free workplace.NameThis field is for validation purposes and should be left unchanged.