Application for Employment

Date of Application

Name

First

Last

Address

Phone Number

Birthdate (Month/date/year) and age *

Do you have a reliable form of transportation to work?

• Yes
• No

Are you at least 18 years of age?

• Yes
• No

If you are under 18, can you provide us with a work permit?

• Yes
• No

Are you looking for:

• Full Time Work
• Part Time Work

Are you legally eligible for employment within the US?

• Yes
• No

Approximately how many hours a week would you like to work?

What type of position(s) are you applying for?

• Waitstaff
• Host staff
• Cook
• Kitchen Help
• Bartender
• Cleaning

Please list any jobs you've held in the last 5 years:

Please list your education:

Do you hold a valid bartenders license for the state of Wisconsin?

• Yes
• No

Reference #1 *

First

Last

Phone Number

Relationship and years known

Reference #2 *

First

Last

Phone Number

Relationship and years known

Reference #3 *

First

Last

Phone Number

Relationship and years known

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