Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Become a: *

SERVER

COOK

BARTENDER

HOST/HOSTESS

DISHWASHER

Morning Shift Availability

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

Night Shift Availability

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

Phone *

(###)

###

####

Phone *

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Phone

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Phone

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Phone

(###)

###

####

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Certify Below That All The Above Information is Correct *

I CERTIFY THAT ALL THE INFORMATION I HAVE PROVIDED IS TRUE AND COMPLETE. I UNDERSTAND THAT IF ANY OF THE INFORMATION HAS BEEN FALSELY PROVIDED THAT IT MAY RESULT IN VOIDING MY APPLICATION OR CAUSE MY TERMINATION IF HIRED. AS A CONSIDERATION TO MY EMPLOYMENT I AGREE TO ALL COMPANY POLICIES, RULES AND REGULATIONS AND I AGREE THAT MY EMPLOYMENT CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE AT ANY TIME. I ALSO AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT CAN BE CHANGED WITHOUT NOTICE AT ANY TIME.