Online Application For Employment

We are hiring for the following positions...

  • Bartenders
  • Wait Staff
  • Night Managers
  • Counter Staff



Name:
E-Mail Address:
Street Address:
City:
State:
ZIP Code:
Telephone Number:
Social Security Number:
Position applying for:
Are you currently employed? Yes - No
Are you over 18 years of age? Yes - No
Are you authorized to work in the United States? Yes - No
Have you previously worked for this company? Yes - No
If yes, when?
Are you willing to work evenings and weekends? Yes - No
Type of employment desired? Full-Time - Part-Time
Have you ever plead guilty, no contest, or been convicted of a crime? Yes - No
If yes, please give dates and nature of the offense(s).
Will you agree to be drug tested prior to being offered a position with this company? Yes - No
Employment History (begin with most current employer)
Company #1:
Employed from: to
Location (City, ST):
Phone Number:
Name of immediate Supervisor:
Starting Position and Salary:
Ending Position and Salary:
Resposibilities:
Reason for leaving:
May we contact this employer for a reference? Yes - No
Company #2:
Employed from: to
Location (City, ST):
Phone Number:
Name of immediate Supervisor:
Starting Position and Salary:
Ending Position and Salary:
Resposibilities:
Reason for leaving:
May we contact this employer for a reference? Yes - No
Company #3:
Employed from: to
Location (City, ST):
Phone Number:
Name of immediate Supervisor:
Starting Position and Salary:
Ending Position and Salary:
Resposibilities:
Reason for leaving:
May we contact this employer for a reference? Yes - No
Education
High School Name And Location:
How many years completed?
Did you graduate? Yes - No
College Name And Location:
How many years completed?
Did you graduate? Yes - No
Trade School Name And Location
How many years completed?
Did you graduate? Yes - No
List scholastic honors, awards, business or civic associations, offices held, or voluntary work relative to your ability to perform the functions of the position for which you are applying.
List equipment or special skills relative to your ability to perform the functions of the position for which you are applying.
Hours of Availability
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Maximum hours available per week:
References (3 persons not related to you)
Name of first reference:
Phone Number:
Address:
Company:
Years Known:
Name of second reference:
Phone Number:
Address:
Company:
Years Known:
Name of third reference:
Phone Number:
Address:
Company:
Years Known:
PLEASE READ CAREFULLY!
Important: this application will aid us in obtaining a clear understaning of your qualifications to fill specific job openings.

We are an Equal Opportunity Employer. Complete all the information on the application, as we cannon consider you for employment unless all of the requested information is provided by you. If you have additional information that will help us further evaluate you as a potential employee (such as a resume or letter of recommendation), please drop it off in person or E-Mail it to Ruth Dutler on the Contact Us page after this application has been completed.

I understant that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service.

In connection with my application for employment with this company, I understand that a consumer report or an investigative consumer report may be requested that will include such information as to my character, work habits, performance, and experience, along with reasons for termination of past employment. I understand that as directed by the company policy and consistent with the job description, you may be requesting information from public and private sources about my workers compensation injuries, driving record, court record, education credentials and references.

This is a part time/temporary position. I understand that schedules will be made up at least two weeks in advance. Time needed off will be requested before schedules are posted.

I also understand that if I miss my scheduled shift without PERMISSION and/or without finding an approved replacement it is grounds for immediate dismissal.
AUTHORIZATION
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal and otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relavent federal and state laws."
Electronic Signature
Yes, I Agree - No, I Do Not Agree