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Personal Information

000-000-0000 or (000) 000-0000

Position Applying For
Are you legally authorized to work in the United States?
Have you ever been convicted of a felony?

Availability

Days Available
Shift preference:

Employment History

Employer 1

Start Date

End Date

May we contact?

000-000-0000 or (000) 000-0000

Employer 2

000-000-0000 or (000) 000-0000

Start Date

End Date

May we contact?

000-000-0000 or (000) 000-0000

Employer 3

000-000-0000 or (000) 000-0000

Start Date

End Date

May we contact?

000-000-0000 or (000) 000-0000

References

Reference 1

000-000-0000 or (000) 000-0000

Reference 2

000-000-0000 or (000) 000-0000

Reference 3

000-000-0000 or (000) 000-0000

Additional Skills

Are you of legal age to serve alcohol?
Do you have experience using restaurant/bar computers?

NEW EMPLOYEE NINETY DAY INTRODUCTORY PERIOD TERMS:

If application is accepted, you will be hired on a three-month introductory probation period. Every effort will be made to base your schedule on the availability listed above, so long as it does not interfere with the best interest and operation of the company. In signing this application, I understand that if I am hired, any deliberate omission or falsification of information by me on this form will be grounds for my dismissal from the company. I understand and accept the above as the basis for which my application is accepted. I also consent to The Blackout Burger Bar making its usual inquiries about my work experience through my former employers, and to the obtaining of consumer reports which may contain credit and personal information other than that of political, religious, racial or ethnic character.

Please submit a copy of your resume. (pdf, doc, docx, jpg, jpeg):

Today's Date

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