Today's Date
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MM
DD
YYYY
Which restaurant are you applying for?
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What position are you applying for?
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Name
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First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
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Phone Number
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(###)
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If you are under 18 years of age, can you provide required proof of your eligibility to work?
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Yes
No
Over 18
Have you ever filed and application or been employed with us before?
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Yes
No
Are you currently employed?
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Yes, but please don't contact my current employer.
Yes, and please contact my current employer.
No
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
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Yes
No
Are you available to work
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Are you able to perform the essential functions of the job you are applying for, with or without reasonable accomodation?
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Yes
No
What days are you available to work?
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Education
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Please describe the highest level of education you completed. Please include name of institution, graduation date (if applicable), and level completed.
Did your receive a diploma/degree?
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Recent Employment Experience
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Start with either your present job or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. Please include NAME OF EMPLOYER, DATES OF EMPLOYMENT, JOB TITLE AND DESCRIPTION, SUPERVISOR NAME, TELEPHONE NUMBER AND REASON FOR LEAVING (IF APPLICABLE),
Professional References #1
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First Name
Last Name
Phone
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(###)
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Professional Reference #2
First Name
Last Name
Phone
(###)
###
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