Employment

Position
ServerCook

Time Desired
Full TimePart Time

Desired Salary

Your Name*

Your Email*

Phone

Address

City

State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of Columbia

ZIP

Most Recent Work Experience

From

To

Position

Reason for Leaving

Employer

Employer Address, City, State and ZIP

Employer Phone

Describe the Work You Did

Previous Work Experience

From

To

Position

Reason for Leaving

Employer

Employer Address, City, State and ZIP

Employer Phone

Describe the Work You Did

General Information

Completed High School or GED
YesNo

Completed College
YesNo

When are you available to start?

Do you have any special skills, training, or experience which may help you qualify for this job?

Do you have a reliable means of transportation to get to work?
YesNo

Do you have any physical or mental conditions that would limit your ability to do this job?

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses? (Note: Conviction will not necessarily disqualify applicant)

Availability

Check the days you are NOT available to work.
Sunday LunchSunday DinnerMonday LunchMonday DinnerTuesday LunchTuesday DinnerWednesday LunchWednesday DinnerThursday LunchThursday DinnerFriday LunchFriday DinnerSaturday LunchSaturday Dinner

Certification and Acknowledgement

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment form will be considered grounds for termination. I authorize the company to thoroughly investigate my work experience and any other matters related to my suitability for employment. I further authorize my former employers to disclose to the company any and all information they may have concerning my previous employment. In addition, I hereby release the company, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosure. I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with the company and may not be modified by any oral or implied agreement.

Check here to indicate that you have read and agree with the Certification and Acknowledgement above. *