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. Monday Tuesday Wednesday Thursday Friday