Step 1 of 4

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Your Personal Information

Your Name

First Middle Initial Last

Current Address

Street Address City State / Province / Region ZIP / Postal Code

Permanent Address

Street Address City State / Province / Region ZIP / Postal Code

Day Phone

Evening Phone

Alternate Phone

Your Email Address

Enter Email Confirm Email

Best Time To Call You

When is the best time for us to reach you via telephone?

Position You're Applying For

Host

Server

Busser

Line Cook

Dishwasher

Date you are available for employment

MM slash DD slash YYYY

What is the minimum amount of money you expect to make?

1. If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to work in the United States?

Yes

2. If hired, can you submit proof of legal age to work in this state?

Yes

3. Are you of legal age to serve alcohol in this state?

Yes

4. As an adult, have you been convicted of a felony or pled guilty to a felony resulting in conviction, which conviction has not been annulled, erased, expunged, vacated, set aside, sealed by the Court, or referred to a diversion program? (Applicants in California, Connecticut, District of Columbia, Georgia, Hawaii, Illinois, Massachusetts, Nevada, New York, and Washington should read the information on the last page of this application BEFORE answering this question.)

Yes

Conviction will not necessarily disqualify an applicant from employment. Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making any employment decisions. If your answer is “yes,” please explain the circumstances surrounding such offense, including place, date, name of court, etc.

5. How many jobs have you held in the last two years?

4 or more

6. Have you ever been terminated from a job?

Yes

If yes, how many jobs have you been terminated from?

4 or more

7. You want to work:

Part-time

Full-time

How many hours per week?

8. Do you presently have a job that you intend to keep?

Yes

9. In the table below, please indicate the days you CAN work. List the earliest and latest times you CAN work. Please account for travel time to and from other obligations (e.g., sports, classes, meetings, etc.). Being on time for a shift is mandatory.

Earliest Time In

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Latest Time Out

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

10. Do you have a reliable means of transportation to and from work for the days and times you are available?

Yes

11. Are you available to work holidays and weekends?

Yes

12. We may conduct training on days, or at times, you have other obligations. Is your schedule flexible so you may come to training?

Yes

13. Are you, or do you plan to be, in school or taking courses at any time while working here?

Yes

14. If you have other obligations or commitments that may affect your schedule (such as travel plans) please indicate the particular dates and times that you will be unavailable.

(You may omit any information indicating legally protected characteristics such as age, disability, marital status, national origin, race, religion, or gender.)

15. Education

High School

Name and Location of School

Last Year Completed

9th

10th

11th

12th

Degree Received

College / Other

Name and Location of School

From

MM slash DD slash YYYY

Major/Specialty

Degree Received

16. Do you agree not to bring into any Company facility confidential information of any third parties that relates in any way to the restaurant industry, and to keep confidential and not disclose any of the Company’s or any third parties’ confidential information?

Yes

17. Have you read a job description for the position of interest?

Yes

Do you understand the job requirements?

Yes

18. Can you perform the essential functions required by the job for which you are applying either with or without reasonable accommodations?

Yes

19. Personal References (other than immediate family)

Personal Reference 1

Name

Phone

Number of years known

Relationship

Personal Reference 2

Name

Phone

Number of years known

Relationship

Previous Employment

Your Current or Most Resent Employer

Please list your previous employers, the dates you worked and the position you held

Employer

Address

Position

Job Duties

Did you handle cash?

Yes

Current/most resent supervisor

Name and Title of Immediate Supervisor

Phone Number of Immediate Supervisor

Employment Start Date

MM slash DD slash YYYY

Employment End Date

MM slash DD slash YYYY

Hours worked & reason for leaving

Usual number of Hours Worked per Week

Reason for Leaving

Weekly Earnings

Starting $

Ending $

May we contact your current employer prior to any offer of employment?

Yes

Name

This field is for validation purposes and should be left unchanged.

The Tap Room

Application For Employment

Your Personal Information

Position You're Applying For

15. Education

High School

College / Other

Previous Employment