EmailMe Form - Restaurant Employment Application

Position *

Waiter/Waitress

Cook

Bartender

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Confirm

Phone *

### - ### - ####

Date you could start

MM / DD / YYYY

Are you currently employed?

Schedule Availability?

May be contact your employer?

Yes

no

Tell us about your education

Recent Employer #1

Name of employer

Dates employed with employer #1

List From and to dates

Wages/Salary Emppoyer #1

If hourly, please list per hour wage

Position with Employer #1

Reason for leaving Employer #1

Recent Employer #2

Name of employer

Dates employed with employer #2

List From and to dates

Wages/Salary Employer #2

If hourly, please list per hour wage

Position with Employer #2

Reason for leaving Employer #2

Recent Employer #3

Name of employer

Dates employed with employer #3

List From and to dates

Position with Employer #3

Reason for leaving Employer #3

DURING THE PAST 5 YEARS, HAVE YOU EVER BEEN CONVICTED OF, PLED GUILTY TO OR PLED NO CONTEST TO A CRIME, EXCLUDING MISDEMEANORS AND TRAFFIC VIOLATIONS? *

Yes

No

Answering yes will not necessarily bar you from employment. Applicants are not required to disclose sealed or expunged conviction records or the existence of such records.

If yes, describe in full:

ARE YOU OR HAVE YOU EVER BEEN A SEX OFFENDER REGISTERED WITH ANY FEDERAL, STATE OR LOCAL GOVERNMENT AGENCY, INCLUDING ANY LISTING ON A PUBLIC WEBSITE? *

Yes

No

Employment at Whiskers Brewing is subject to age verification and you will need to provide proof of age with a valid Driver License. Are you at least 21 years old? *

Yes

No

All of the employment positions at Whiskers Brewing require that you stand during your entire shift. Please confirm that you understand that you will be required to stand and or walk during your entire shift and that you have no limitations that would prevent you from accomplishing this job requirement. *

Clear

Signature is required for this question

I understand that this is just a preliminary application. If we call you in for an interview, you will be asked to complete our full employment application in order to be considered for employment with Whiskers Brewing Inc. *

Clear

Please provide a signature