ASH CREEK SALOON APPLICATION FORM
PERSONAL INFORMATION
First name: Last name:
Street address:
City: State: Please select one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip code:
Telephone number:
E-mail address:
Are you eligible to work in the United States? Yes No
If you are under age 18, do you have an employment/age certificates? Yes No
Have you been convicted of or pleaded no contest to a felony within the last five years? Yes No
If yes, please explain:
POSITION/AVAILABILITY
Position applied for: Please select one General Manager Assistant Manager Head Chef Sous Chef Bartender Waiter Waitress Hostess Food Runner Bus Person Line Cook Dishwasher Please select one General Manager Assistant Manager Head Chef Sous Chef Bartender Waiter Waitress Hostess Food Runner Bus Person Line Cook Dishwasher Please select one General Manager Assistant Manager Head Chef Sous Chef Bartender Waiter Waitress Hostess Food Runner Bus Person Line Cook Dishwasher Please select one General Manager Assistant Manager Head Chef Sous Chef Bartender Waiter Waitress Hostess Food Runner Bus Person Line Cook Dishwasher
Days available: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Hours available: From: Select 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 Select AM PM To: Select 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 Select AM PM
What date are you available to start work? Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
EDUCATION
Name and address of school, degree/diploma, graduation date
Skills and qualifications: Licenses, skills, training, awards
EMPLOYMENT HISTORY
Present or last position:
Employer:
Supervisor:
Position title:
From: Year 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 To: Year 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
Responsibilities:
Salary: Select Per Hour Per Week Per Month Per Year
Reason for Leaving:
REFERENCES
Full name:
Title: