Contact Information
Name:
Phone:
Email:
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Mobile Phone:

Contact Address
Street:
City:
State/Province:
Zip/Postal Code:

Requested Information
Have You Ever Worked in a Restaurant Before?	- Choose an Option - Yes No
If yes, when?
Describe your duties
Are you legally able to be employed in this country (verification if required by law)?	- Choose an Option - Yes No
What type of position are you seeking?	- Choose an Option - Part-Time Full-Time Seasonal Temporary
Total hours available per week
Days Available to work (select all that apply)	Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Education
Which high school did you attend?
Years attended
Degree
Which college did you attend?
Years attended
Degree
Are you currently attending school?	- Choose an Option - Yes No

Employment
Are you currently employed?	- Choose an Option - Yes No
Company Name
Position
How long did you work here?
Supervisor Name
Phone Number
Reason for leaving
Company Name
Position
How long did you work here?
Supervisor Name
Phone Number
Reason for leaving
Reference Name
Relation (Please do not use family members)
Phone Number
Years Known
Reference Name
Relation (Please do not use family members)
Phone Number
Years Known

Emplyoment
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