Job Application Personal InformationRestaurant Applying For:(Required) Position(s) Applying For:(Required) Bartender Server Barback Hostess Security Host Line Cook Dishwasher Last Name:(Required) First Name:(Required) Middle Name: Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Social handle: Instagram and/or Facebook General InformationHow did you learn about us?(Required) Print Ad Friend/Family Social Media Sites Agency School Website Other If other, explain: Have you ever filed an application with us before?(Required) Yes No If yes, give date: Have you ever been employed with us before?(Required) Yes No If yes, give date: Do we currently employ a member of your family or household?(Required) Yes No If yes, give name: EducationCollege/University/Professional School Name and Location: Did you graduate? Yes No Diploma/Degree: Describe any specialized training, apprenticeships, and extra-curricular activities: Indicate any foreign languages you can speak, read, and/or write: List professional, trade, business or civic activities, and offices held. You may exclude memberships, which would reveal sex, race, religion, national origin, age, ancestry, disability, or other protected statuses not listed. Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation?(Required) Yes No Work ReferencesReference Name Relationship PhoneReference Name Relationship PhoneReference Name Relationship PhoneEmployment History Start with your present or last job and list all employment for the last 10 years and in your employment, attach additional sheets if necessary. (Do not substitute your resume for this information.) Include any job-related service assignments and volunteer activities. You may exclude volunteer organizations, which indicate race, sex, color, religion, national origin, disability, and other protected status.Employer Dates Employed Employer Dates Employed Employer Dates Employed Employer Dates Employed Employer Dates Employed Certification and Agreement Read carefully before signing1. "I certify that all information submitted by me in my application is true and complete. I understand that any false information, misrepresentation, or omission of facts in my application, including resumes submitted, or any attachments to my application may result in refusal of employment or if employed, termination of employment. 2. It is my understanding that the Company may make a thorough investigation of my work, educational, and personal history and may verify all data given in my application, related papers or oral interviews. I authorize such investigation and the giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may result in refusal of employment, or if employed, termination of employment. 3. I further understand that the Company can change compensation and benefits at any time with or without cause and with or without notice. I also understand and agree that the terms and conditions of my employment may be changed with or without cause and with or without notice, at any time by the Company. 4. I understand that the Company may, from time to time, establish rules, regulations, policies, and/or disciplinary procedures written and unwritten. In consideration of my employment, I agree to conform to all applicable rules, regulations, policies, and/or disciplinary procedures of the Company. I understand that those rules, regulations, policies, and/or disciplinary procedures are not intended by the Company to create an obligation of continued employment. 5. I understand that this document is an application for employment and continued employment is not being offered. I hereby understand and agree that my employment, both during and after the introductory or orientation period, is for an indefinite period, and that nothing in this application or any other Company document shall be deemed to create any contract of continued employment between me and the Company. 6. I understand that no individuals making verbal statements has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. Nothing will constitute an agreement unless the Company provides in writing a legally binding contract signed by an authorized Company representative. 7. I understand that employment beyond the introductory or orientation period or employl"(lent for any number of years shall not result in any heightened expectation of continued employment. I understand and agree that any statements to the contrary, whether oral or written, are expressly disavowed and are not to be relied upon by me. 8. It is my understanding that this application for employment will only remain active for 90 days following the date of this application."This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Please Sign(Required) Reset signature Signature locked. Reset to sign again Today's Date(Required) MM slash DD slash YYYY