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Employment Application
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Email
*
Record my email address with my response
Personal Information
Name
*
First and last name
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Email
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
Line Cook
Dishwasher
Busser
Server
Required
Employment Desired
*
Full Time
Part Time
Other:
What is your availability?
We are open Tuesday through Saturday 6am to 2pm and Sunday 7am to 2pm. Additional hours may be available with caterings and other events.
Monday.
Your answer
Tuesday
*
Your answer
Wednesday
*
Your answer
Thursday
*
Your answer
Friday
*
Your answer
Saturday
*
Your answer
Sunday
*
Your answer
Should we know anything else about your availability?
Your answer
Date Available to Start?
*
MM
/
DD
/
YYYY
Desired Pay:
*
Your answer
Transportation
Do you have a valid Indiana Drivers License?
*
Yes
No
Do you have access to a vehicle for transportation to and from work?
*
Yes
No
Other:
Employment Eligibility
Are you legally eligible to work in the U.S.?
*
Yes
No
Have you ever been convicted of a Felony?
*
Yes
No
If yes, please explain below.
Your answer
Education Eligibility
Did you graduate high school?
*
Yes
No
If no, do you have your GED?
Yes
No
Clear selection
Did you graduate College
*
Yes
No
Previous Employment
What is your most recent employment
Company Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Supervisor Name
*
Your answer
Position
*
Your answer
What time frame did you work there?
*
Your answer
Reason for leaving?
*
Your answer
Do you have other restaurant employment/experience?
*
Yes
No
If yes, where at?
Your answer
Background Check Consent
If asked, are you willing to consent to a background check?
*
Yes
No
Disclaimer
This is an equal opportunity employer.
Send me a copy of my responses.
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