APPLICATION FOR EMPLOYMENT In order for you to be considered for employment, all required fields within this application must be filled out in their entirety. All statements made by applicants for employment on this application will be checked for accuracy. GENERAL APPLICANT INFORMATION Today's Date:* /Month /DayYearDate Name* First NameLast Name Your Pronouns: Please Select He/Him She/Her They/Them He/They She/They Other Date of Birth* /Month /DayYearDate of Birth Address* Street Address Street Address Line 2 CityState / Province Postal / Zip Code Email Address:* example@example.com Phone Number:* (xxx) xxx-xxxx What position(s) are you applying for?* KitchenBartenderBarbackDoorSecurityOther Where did you hear about this position?* Google SearchInternet AdvertisementWord Of MouthCan't RememberReferral: (please list the name of the person that referred you) Do you meet the legal state age requirement for serving alcohol?* YesNo When could you start employment?* -Month -DayYearDate How many hours per week do you expect to work?* Expected Hourly Rate:* Expected Weekly Earnings:* Have you been convicted of a felony, or been incarcerated in connection with a felony, in the past 10 years?* NoYes (If yes, please provide a short summary below) What is your general availability? * M T W Th Fr Sa Su 2pm-8pm 8pm-2am Please list anything else you feel is important for us to know about your weekly availability: Are you willing to work some holidays/weekends?* YesNo Are you willing to stay late in an emergency?* YesNo Is your schedule flexible enough for you to attend training?* YesNo EDUCATION INFORMATION Please provide applicable information regarding your education. HIGH SCHOOL Name of school* Last Grade Completed:* 9th Grade10th Grade11th Grade12th Grade Did you receive your diploma? (If GED, select yes)* YesNo COLLEGE Did you attend college?* YesNoOther (include any secondary education or certifications here) Name of school Last Year Completed: FreshmanSophomoreJuniorSeniorOther/Did not attend Did you graduate? NoYes (If yes, please provide degree(s)/specializations acquired) Please list any other education, certifications, or specializations you've acquired that were not covered in the questions above: WORK HISTORY You may list 1-3 previous employers here. If you wish to add additional employment history to your application, you can attach your résumé at the end of this form. JOB #1 Current/Most Recent Job Company Name* Company Address* Company Phone Number* Name and Title of Immediate Supervisor* Your Job Title(s):* Your Responsibilities:* Dates of Employment:* Starting Wage: Ending Wage (if different from starting wage): Reason for Leaving:* Please provide a short description of the reason you left this company. May we contact this employer?* YesNo JOB #2 Previous Job Company Name Company Address Company Phone Number Name and Title of Immediate Supervisor Your Job Title(s) and Responsibilities: Dates of Employment: Starting Wage: Ending Wage (if different from starting wage): Reason for Leaving: Please provide a short description of the reason you left this company. May we contact this employer? YesNo JOB #3 Previous Job Company Name Company Address Company Phone Number Name and Title of Immediate Supervisor Your Job Title(s) and Responsibilities: Dates of Employment: Starting Wage: Ending Wage (if different from starting wage): Reason for Leaving: Please provide a short description of the reason you left this company. May we contact this employer? YesNo Other Information: There are a variety of opportunities in management, marketing, music, events, and more that arise within our industry. If there are any other fields you are interested in and would like to be considered for, should the opportunity arise, please list them below. Upload your résumé/CV here (optional) Browse FilesDrag and drop files here Choose a file Cancelof Print FormSave For LaterSubmit Should be Empty: Now create your own Jotform - It's free!Create your own Jotform