Employment Application

First Name

Last Name

Middle Name

Current Mailing Address

City

State

Zip Code

Phone

Are you 18 or older?

Yes No

If not, Age

Have you ever worked for a restaurant before?

Yes No

If Yes, for whom:

Start Date

End Date

Date Available

Accepted Wage per Hour

Do you have another job, school, social, or family activitesi that prevent you from working any hours?

Yes No

Please Explain

Daily Hours Available

Daily Hours NOT Available

Present Employer

Name of Present Employer

Address of Present Employer

Start Date

End Date

Starting Wage

Final Wage

Supervisor's Name

Phone

Your Position

Reason for Leaving

Most Recent Employer (other than present

Name of Most Recent Employer)

Address of Most Recent Employer

Start Date

End Date

Starting Wage

Final Wage

Supervisor's Name

Phone

Your Position

Reason for Leaving

Next Most Recent Employer

Name of Next Most Recent Employer

Address of Next Most Recent Employer

Start Date

End Date

Starting Wage

Final Wage

Supervisor's Name

Phone

Your Position

Reason for Leaving

Employment Application

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