Work For Us

Full Name(First, Middle, Last)


Social Security Number


Address 1


Address 2


City


State


Zip


Primary Phone


Secondary Phone


E-Mail


Which store(s) are you applying to? Green:  Canton

What Position Are You Interested In?
Bartender: Waitress:

Are You Applying For?
Full Time   Part Time

Days Available To Work
SundaysMondaysTuesdaysWednesdaysThursdaysFridaysSaturdays

Are You Eligible To Work In The United States?
Yes   No

Have You Ever Been Convicted Of A Felony?
Yes   No

If so, Explain:


Do you consent to a background check?
Yes   No

Are you currently emplyed?
Yes: No:

May we contact your previous emplyers?
Yes: No:

Previous Employer
Company NameLocationPhone

Dates Employed
From:To:Supervisor

Job TitleJob Duties

Reasons for Leaving


Other Experience List other skills that may be valuable to this position


References
NameAddressPhoneRelationship

NameAddressPhoneRelationship

NameAddressPhoneRelationship



High School
NameLocation

Dates Attended
From:To:Did you graduate?
Yes: No:


College
NameLocation

Dates Attended
From:To:Field of Study

Did you graduate?
Yes: No:


Vocational / Trade School
NameLocation

Dates Attended
From:To:Field of Study

Did you graduate?
Yes: No:


Other Education