APPLICANT NOTE: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment begins, terminating employment. All qualified applicants will receive consideration and will be treated throughout their employment without regard to race, color, religion, sex, national origin, age, disability, or any other protected class status under applicable law. Additional testing for the presence of illegal drugs in your body may be required prior to employment.Todays DatePosition applied for:Name *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have Bartending Experience? *YesNoWhy are you interested in employment with us?YOUR AVAILABILITY:Due to the nature of the business, no guarantee can be made as to the schedule or the number of hours worked. What date are you available to begin work?Please complete all areas of availability.MorningsAfternoonEveningsWeekdaysWeekendsPlease indicate the days of the week as well as the earliest and latest times that you are available for work.EDUCATIONFor employment our minimum education requirement is either a GED or High School diplomaHigh SchoolPlease list the School Name, City, State, Major Subject, # Yrs AttendedDid you graduate? (High School)YesNoVocational/TechnicalPlease list the School Name, City, State, Major Subject, # Yrs AttendedDid you graduate? (Vocational/Technical) YesNoCollege/UniversityPlease list the School Name, City, State, Major Subject, # Yrs AttendedDid you graduate? (College/University)YesNoWORK HISTORY:Your application will not be considered unless all questions in this section are answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are essential.MOST RECENT EMPLOYER:Are you currently working for this employer?YesNoIf yes, may we contact?YesNoCompany NameCity/StatePhoneDates Employed: FromDates Employed: ToJob TitleSupervisor's Name DutiesSalary$ Per (Hour, Week, Month)Reason for Leaving REFERENCES (Do not include relatives)Name (Reference)FirstLastPhone (Reference)Name (Reference) 2#FirstLastPhone (Reference) 2# *APPLICANT CERTIFICATION AND RELEASE:I certify that I have read and understand the applicant note on page one (1) of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or discharge at any time during my employment. My signature below acknowledges that I have read, understand, and agree to the above disclosure. I also understand that due to the nature of the business, no amount of work can be guaranteed. SIGNATURE *Type Your full NameDate (Signature Date) *CommentSubmit
