Contact Information
Name:
Phone:
Email:

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

Age
Are you 18 or older?	YesNo
Are you 19 or older?	YesNo
Are you 21 or older?	YesNo

Requested Information
What position are you applying for?	- Choose an Option - Waiter/Waitress Host/Hostess Bartender Cooking Cashier Busboy Dishwasher
What is your salary requirement (if any)?
Number of hours desired:
Are there any days you are not available?
Please List Your Last Four Employers, Your Pay and Reason for Leaving:
Have You Ever Been Convicted of a Felony?	YesNo

References: (Name, Phone Number and Relationship)
Reference 1:
Reference 2:
Reference 3:

Resume
Upload Your Resume: