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Mount Golian Grill Employment Form
Please fill out this form and call (402) 960-8844 to schedule an interview.
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Personal Information
Name (First and Last)
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Your answer
Email
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Your answer
Phone Number
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Your answer
Employment Desired
Which position are you interested in?
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Choose
Bartender
Cook
Prepper/Busser
Server
Host
For bartender applicants only. Are you TIPS certified?
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Yes
No
The date you can start.
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MM
/
DD
/
YYYY
Schedule availability?
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Your answer
Education
Tell us about your education.
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Former Employers
Name of Employer 1
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Your answer
Dates of Employment 1
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Your answer
Position 1
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Your answer
Duties and Responsibilities 1
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Your answer
Reason for Leaving Employer 1.
Your answer
Name of Employer 2
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Your answer
Dates of Employment 2
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Your answer
Position 2
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Your answer
Duties and Responsibilities 2
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Your answer
Reason for Leaving Employer 2
*
Your answer
References
Reference Name 1
*
Your answer
Reference Phone Number 1
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Your answer
Reference Relationship 1
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Your answer
Reference Name 2
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Your answer
Reference Phone Number 2
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Your answer
Reference Relationship 2
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Your answer
Other Information
Is there any other information you would like us to know?
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