PERSONAL INFORMATION:

Your First & Last Name (required)

Address (required)

City (required)

State (required)

---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip (required)

Your Email (required)

Telephone No. (required include area code XXX-XXX-XXXX):

Are you eligible to work in the United States? (required)

---YesNo

If yes, choose which option best describes you (required):

---US CitizenPermanent CitizenWork VisaOther (if other, please explain)

If other, please explain:

POSITION

Please Select the position that you wish to apply for:

 Host/Hostess Server Buser Chief Kitchen Helper Other

AVAILABILITY:

What is your availability:

 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Hours Available from AMPM to AMPM

What date are you available to start work?

EDUCATION:

Name and Address of School - Degree/Diploma - Graduation Date

Skills and Qualifications: Licenses, Skills, Training, Awards:

EMPLOYMENT HISTORY:

Present or Last Employer Name, Address:

Supervisor Name:

Supervisor Phone:

Supervisor Email:

Position Title

Held Position From: To:  Present

Responsibilities:

Salary:

Reason for Leaving:

May We Contact Your Present Employer? YesNo

Reference Names, Titles, Address & Phone Numbers:

Hobbies, Interests or what you like to do in your free time:

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

---YesNo