First Name

Last Name

Address

Email Address

Phone Number

Date Available To Start

Social Security Number

Position Desired

Drivers License Number (If Applicable)

If you are under the age of 18, can you provide a work permit? If you are under the age of 18, can you provide a work permit? Yes No N/A

Have you ever worked in the food service environment? Have you ever worked in the food service environment? Yes No

Are you a legal U.S. citizen? Are you a legal U.S. citizen? Yes No

Have you ever been convicted of a crime? Have you ever been convicted of a crime? Yes No

If yes, give dates and details

Type of employment desired? Type of employment desired? Full-time Part-time Temporary

Education History Education HistoryHigh SchoolCollegeTrade School

Did you graduate? Did you graduate? Yes No

Years Attended

Summarize your special skills or qualifications, and tell us why we should hire YOU.

Have you ever had a job? Have you ever had a job? Yes No

Company Name (begin with most recent)

Position Held

Employment Dates

City & State

Supervisor

Supervisor Phone Number

Reason For Leaving

Would you like to list more employment history? Would you like to list more employment history? Yes No

Company Name

Position Held

Employment Dates

City & State

Supervisor

Supervisor Phone Number

Reason For Leaving

Would you like to list more employment history? Would you like to list more employment history? Yes No

Company Name

Position Held

Employment Dates

City & State

Supervisor

Supervisor Phone Number

Reason For Leaving

Have you ever been fired from a job? Have you ever been fired from a job? Yes No

If yes, explain