Employment Application Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Social Security Social Media Link @ Position Applied For? * Bartender Waitstaff Hookah Busser Kitchen Manager Line Cook Management DJ Security Date Available MM DD YYYY Desired Starting Wage $ Are you a Citizen of the United States? * Yes No If Not a US Citizen, are you authorized to work in the US? Yes No Have you ever been convicted of a felony? Yes No If yes, explain: Military Service? Yes No If Yes, What Branch? Start Date MM DD YYYY End Date MM DD YYYY Type of Discharge Honorable Discharge General Discharge Entry-Level Separation Medical Discharge Other Than Honorable Discharge Bad Conduct Discharge Dishonorable Discharge Dismissal (Officer Discharge) Education History Please Provide Previous Education Experience Education Choose one of the following: Some High School High School/GED Associate's Degree Batchelor's Degree Master's Degree PHD School Name Address Start Date MM DD YYYY End Date MM DD YYYY Did you graduate? Yes No School Name Address Start Date MM DD YYYY End Date MM DD YYYY Did you graduate? Yes No Employment History Provide Previous Employment History Company 1: Previous Employer Information Phone (###) ### #### Job Title Responsibilities Reason For Leaving? Start Date MM DD YYYY End Date Leave Blank if currently employed MM DD YYYY Company 2: Previous Employer Information Phone (###) ### #### Job Title Responsibilities Reason For Leaving? Start Date MM DD YYYY End Date Leave Blank if currently employed MM DD YYYY Company 3: Previous Employer Information Phone (###) ### #### Job Title Responsibilities Reason For Leaving? Start Date MM DD YYYY End Date Leave Blank if currently employed MM DD YYYY Reference 1 Please Provide A Professional Reference Name First Name Last Name Phone (###) ### #### Relationship: Reference 2 Please Provide A Professional Reference Name First Name Last Name Phone (###) ### #### Relationship: Reference 3 Please Provide A Professional Reference Name First Name Last Name Phone (###) ### #### Relationship: Tell us about yourself? General Comments Thank you! Please allow management to review your application. After the review process, management will reach out to you!