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Personal Information
First Name
Middle Name
Last Name
Date of Birth
Street Address
City
State
Zip Code
Phone Number
Email Address
Are you eligible to work in united states?
Yes
No
If you are under age 18, do you have an employment/age certificate?
Yes
No
have you ever been convicted of or pleaded no contest to a felony with the last five years?
Yes
No
If Yes, Please explain
Health Card
Tam Card (Alcohol Awareness Card)
Position/Availability
Position Applied For
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Busser/Food Runner
Line Cook
Hostess
Server
Bartender
Days/Hours Available:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What date are you available to start work?
Education
Name and Address of School-Degree/Diploma-Graduation Date
Skills and Qualifications: Licenses, Skills, Trainings, Awards
Employment History
Present or Last Position:
Employer
Address
Phone
Position Title
Start Date
End Date
Responsibilities
Reason for Leaving
Please upload picture for reference