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Age
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Are you 19 or older?	YesNo
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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)
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