Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

STAFF POSITIONS

Server

Server Assistant

Cocktail Server

Bartender

Line Cook

Dishwasher

Host

MORNING AVAILABILITY

Flexible

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

NIGHT AVAILABILITY

Flexible

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Professional Reference No.1 *

First Name

Last Name

Phone *

(###)

###

####

Professional Reference No.2 *

First Name

Last Name

Phone *

(###)

###

####

Start Date *

MM

DD

YYYY

End Date *

MM

DD

YYYY

Phone *

(###)

###

####

Start Date *

MM

DD

YYYY

End Date *

MM

DD

YYYY

Phone

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Phone

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Certify below that all the above information is correct *

I CERTIFY THAT ALL THE INFORMATION I HAVE PROVIDED IS TRUE AND COMPLETE. I UNDERSTAND THAT IF ANY OF THE INFORMATION HAS BEEN FALSELY PROVIDED THAT IT MAY RESULT IN VOIDING MY APPLICATION OR CAUSE MY TERMINATION IF HIRED. AS A CONSIDERATION TO MY EMPLOYMENT I AGREE TO ALL COMPANY POLICIES, RULES AND REGULATIONS AND I AGREE THAT MY EMPLOYMENT CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE AT ANY TIME. I ALSO AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT CAN BE CHANGED WITHOUT NOTICE AT ANY TIME.