Employment (* = required) Personal Information Name * Address * City * State * Zip code * Phone number * Referred by Do you live in this area year round? *YesNo Are you 18 years of age or older? *YesNo If not 18, indicate age Do you have legal right to work in US? *YesNo Education Background High School Name and Location of School Years Subjects Studied Did You Graduate?YesNo College Name and Location of School Years Subjects Studied Did You Graduate?YesNo Other/Vocational School Name and Location of School Years Subjects Studied Did You Graduate?YesNo Employment Desired Position * Date you can start * Wage desired * Are you employed? *YesNo If so, may we contact your present employer? *YesNo Have you applied at this restaurant before? *YesNo If so, when? Have you ever been convicted of a crime, Received Deferred Adjudication, plead no contest, or been placed on probation for a crime? *YesNo Former Employers List below last three employers, starting with the most recent first. Employment Dates Name and Address of Employer Salary/Wage Position Reason for Leaving Employment Dates Name and Address of Employer Salary/Wage Position Reason for Leaving Employment Dates Name and Address of Employer Salary/Wage Position Reason for Leaving Availability Please check each day by shift. Day (until 5pm) Night Monday Monday day Monday night Tuesday Tuesday day Tuesday night Wednesday Wednesday day Wednesday night Thursday Thursday day Thursday night Friday Friday day Friday night Saturday Saturday day Saturday night