Employment - Erini

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Position applying for *

Desired Wage *

When can you start? *

Date

Time

AM Availability 10:30 am to 4 pm is an AM shift *

What shifts are you available to work?

PM Availability: Bartender/Barbacks: 2:30 pm Server/Support Staff 3 pm *

What shifts are you available to work?

Are you a US citizen or otherwise authorized to work in the US on an unrestricted basis? *

Have you ever been convicted of a felony? *

Education

High School *

High School name / years attended / degree

College *

College name / years attended / degree

Other *

Other name / years attended / degree

Employment History

Company name *

Company address

Address Line 1

Address Line 2

City

State

Zip Code

Date started

Date

Time

Date ended

Date

Time

Name of supervisor

May we contact your supervisor?

Supervisor telephone

Responsibilities

Tell us more about your role with your previous employer

Reason for leaving

Employment History #2

Company name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date started

Date

Time

Date ended

Date

Time

Name of supervisor

May we contact your supervisor?

Supervisor telephone

Responsibilities

Tell us more about your role with your previous employer

Reason for leaving

*

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal.