Makai Pacific Island Grill
Team Member Application
Restaurant Location *
Required
Last Name *
Your answer
First Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Phone (xxx-xxx-xxxx) *
Your answer
Email *
Your answer
Date Available *
MM
/
DD
/
YYYY
Desired Position *
Your answer
Desired Wage *
Your answer
Looking for *
Specific times you are not available, if any? *
Your answer
Are you a citizen of the United States? *
If no, are you authorized to work in the US? *
Have you ever worked for this Company? *
If yes, explain.
Your answer
Have you ever been convicted of a felony? *
If yes, explain. If no, NA *
Your answer
Did you graduate High School? *
Where? *
Your answer
Year Graduated? (write NA, if did not Graduate) *
Your answer
Did you attend College? *
If yes, explain below degree earned or an other certifications and or qualifications. If no, write in NA. *
Your answer
Do you have a Southern Nevada Health Card? *
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