Employment Application Step 1 of 7 14% We are an Equal Opportunity Employer We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.Name* First Last Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Position Applying For* Date You Can Start* MM slash DD slash YYYY Salary Desired General InformationAre you legally eligible for employment in the USA?*If yes, verification will be required. Yes No Were you previously employed by us?* Yes No If yes, when and where? Are you of legal age to work?* Yes No If applying for a bartending position, are you at least 18 years of age? (legal age to serve in MA)*Proof of age must be presented upon request. Yes No Do you have any physical condition which may limit your ability to perform the particular job for which you are applying?*Proof of age must be presented upon request. Yes No If yes, describe such condition and explain how you can perform the job for which you are applying in spite of it.How much are you available to work?* Full Time Part Time How many hours are you available to work? Have you ever been convicted of a felony?*Conviction will not necessarily disqualify an applicant from employment. Yes No If yes, explain.*How did you learn about us? Why do you want to work here? Employment Experience Employer #1Employer #1 Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY If currently working there, select today's date.Salary Position Reason for Leaving Employer #2Employer #2 Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY If currently working there, select today's date.Salary Position Reason for Leaving Employer #3Employer #3 Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY If currently working there, select today's date.Salary Position Reason for Leaving Employer #4Employer #4 Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY If currently working there, select today's date.Salary Position Reason for Leaving EducationPlease list all education, including schools attended, number of years attended, did you graduate, and subjects studied. Other QualificationsAre there any other experiences, skills, or qualifications which will be of special benefit in the job for which you are applying? State any additional information you feel may be helpful in considering your application. References Reference #1Reference #1 First Last Relationship* Years Known* Phone* Reference #2Reference #2 First Last Relationship* Years Known* Phone* Include ResumeMax. file size: 39 MB.I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.Signature*Date* MM slash DD slash YYYY
