* Name:
* Address:
E-mail:
Social Security#:
* Phone Number:
Are you 18 years or older? Yes No
Are you prevented lawfully becoming employed in this country because of Visa or Immigration Status? Yes No
Discipline:  Host Staff Waiter Busser Kitchen Staff Utility Crew Bakery Staff Star Date: Salary Desired:
Are you employed now? Yes No If so may we inquire of your present employer? Yes No
Ever applied here before? Yes No When? Referred By:
Education Name and Location of School # of Yrs Did You Graduate? Subject Studied Grammar Yes No High Yes No College Yes No Trade Business or Correspondence School Yes No
General Subjects of Special Study or Research Work
Special Skills:
Activities (civic, athletic, etc.)
US. Military or Naval Service: Rank:
Present Membership in the National Guard or Reserves:
Former Employers (List below last three employers starting with last one first. Date, Month and Year Name and Address of Employer Salary Position Reason for Leaving
Which of these jobs did you like best?
What did you like most about this job?
References: Give the names of three persons not related to you, whom you have known at least one year. Name Address Business Years Acquainted
In case of emergency: Name: Address: Phone:
"I certify that all the information submitted by me on this application is true and complete, and I understand that is any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the companies rules and regulations, and I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at anytime at either my or the company's option. I also understand and agree that the terms and conditions or my employment may be changed with or without cause, and with or without notice, at any time by the company, I understand that no company representative, other than it's President, and then only when in writing and signed by the President has any authority to enter into agreement for employment for any specific period of time or to make any agreement contrary to the foregoing. Date: Name: