Employment ApplicationEmployment Application First Name Last Name Email Address Street Address, Apt # State Zip City Phone Position Applying for Position Applying for Server Cook Dishwasher Busser Host Bartender Manager How old are you? Hours/Days you are available for work Previous Employment History Previous Employment History Second Previous Employment History Third Education References: Name, Email or Phone number References: Name, Email or Phone number Second References: Name, Email or Phone number Third Tell Us More About You Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? Yes No If hired, can you furnish proof that you are eligible to work in the U.S.? If hired, can you furnish proof that you are eligible to work in the U.S.? Yes No Have you ever been convicted of any law violation? Have you ever been convicted of any law violation? Yes No Include any plea of “guilty” or “no contest”. Exclude any minor traffic violations. If YES, give details. A conviction will not necessarily disqualify an applicant for employment. Signature Date 1 + 9 = Submit