Name-First Last

Address

City State Zipcode

Phone Email S.S.N.

Refered by:

Position Desired:
Host/Hostess Waiter/Waitress Server Assistant

Line Cook Coat Check Dishwasher Office Assistant

Desired Salary or Pay Position Full-time Part-time

Date you are available to begin

Please tell us which day & nights you are available.

Lunch Shift (10:00am to 4:00pm):

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Dinner Shift (4:00pm to Close):

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

GENERAL QUESTIONS

Are you 18 years old or older? Yes No

Are you 21 years of age or older? Yes No
(Please note that you must be 21 or older to serve
alcohol in New Jersey.)

Are you a U.S. Citizen? Yes No

Are you currently attending school? Yes No

Do you have any physical handicaps which would affect your ability to perform any work for which you are being considered? Yes No

Have you ever been convicted of a crime? Yes No

High School your attended

Post High School

EMPLOYMENT HISTORY

Are you currently employed? Yes No

If so, may we contact your current employer? Yes No
Employer Number

1

Most Recent Employer
Contact Person Address
City, State, Zip Phone #
Position Held Dates of Employment
Reason for Leaving

2

Most Recent Employer
Contact Person Address
City, State, Zip Phone #
Position Held Dates of Employment
Reason for Leaving

3

Most Recent Employer
Contact Person Address
City, State, Zip Phone #
Position Held Dates of Employment
Reason for Leaving

4

Most Recent Employer
Contact Person Address
City, State, Zip Phone #
Position Held Dates of Employment
Reason for Leaving

References


Send us your resume
Tell us if you may have any specail skills relevant to the position that you are applying for.

In case of emergency who may we contact in your behalf


I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for immediate dismissal, further, I understand and agree that my employment is for no definite period and may, regardless of the date of any payment of my wages and salary, be terminated at any time without any previous notice.