Whiskey River Pizza & Pub
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Personal Information
Full Name (First, Middle and Last)
Email Address
Phone Number
Street Address
City, State, Zip
Are you eligible to work in the United States?
Yes
No
If you are under age 18, do you have an employment / age certificates?
Yes
No
I'm 18 or older
Have you been convicted of or pleaded no contest to a felony within the last five years?
Yes
No
Position & Availability
Position Applying For
Select one...
Host
Wait Staff
Kitchen/Line Cook
Bar Staff
When can you start?
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What are your available hours?
Education
Name of School
Degree/Diploma
Graduation Date
Skills & Qualifications
Employment History
Current or Last Position
Employer
Address
Supervisor
Phone
Email
Your Position Title
Start Date
End Date
Responsibilities
Salary
Reason for Leaving
We may contact this employer
Previous Position
Employer
Address
Supervisor
Phone
Email
Your Position Title
Start Date
End Date
Responsibilities
Salary
Reason for Leaving
We may contact this employer
Professional References
Reference 1
Name
Title
Address
Phone
Reference 2
Name
Title
Address
Phone
Emergency Contacts
Emergency Contact 1
Name
Phone
Emergency Contact 2
Name
Phone
I certify that information contained in this application is true and complete. I understand that
false information may be grounds for not hiring me or for immediate termination of employment
at any point in the future if I am hired. I authorize the verification of any or all information listed
above.
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