Employment Application

Position Desired *

First Name *

Last Name *

Email Address *

Phone (Cell) *

Phone (Home)

Address *

Are you ServSafe certified in the state of PA?

If applying for server or bartender position.

How did you hear about us?

WHY DO YOU THINK YOU ARE QUALIFIED FOR THIS POSITION?

Hours Desired

ARE YOU A STUDENT?

TIME STAYING IN TOWN?

ARE YOU STAYING OVER THE SUMMER?

Staying over xmas break?

Major

Target Graduation Date

Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Availability Notes

Previous Employment

1

BUSINESS NAME

ADDRESS

PHONE

SUPERVISOR

DATE OF EMPLOYMENT

POSITION/DUTIES

REASON FOR LEAVING

2

BUSINESS NAME

ADDRESS

PHONE

SUPERVISOR

DATE OF EMPLOYMENT

POSITION/DUTIES

REASON FOR LEAVING

Professional References

1

NAME

RELATIONSHIP

PHONE

2

NAME

RELATIONSHIP

PHONE

3

NAME

RELATIONSHIP

PHONE

Are you human?