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Name Middle Name - Optional Last Name Street Address Email City/State/Zip Phone Number Why are you seeking a new job at this time? Are you at least 18 years old? If you are under 18 years of age, can you furnish a work permit? Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status required to be hired.) If hired, do you have a reliable means of transportation to get to work? (Parking is not provided) List any special skills, training, or education Are you seeking full time or part time employment? When are you available to work? List specific times you are not available to work. Will your availability change any time soon? If so, please list changes and why. Are you willing to work Weekends? Are you willing to work Holidays? Are you currently employed? If hired, when would you be able to start? List any friends or relatives employed by this company: Company (1) Phone No. with Area Code Address City/State/Zip Dates of Employment? Salary (Beginning) Salary (Ending) Job Title Supervisor’s Name, Title, & Contact Info Describe duties briefly: Specific reason for leaving: Company (2) - Optional Phone No. with Area Code - Optional Address - Optional Dates of Employment? - Optional Salary (Beginning) - Optional Salary (Ending) - Optional Job Title - Optional Supervisor’s Name, Title & Contact Info - Optional Describe duties briefly: - Optional Specific reason for leaving: - Optional Company (3) - Optional Phone No. with Area Code - Optional Address - Optional City/State/Zip - Optional Dates of Employment? - Optional Salary (Beginning) - Optional Salary (Ending) - Optional Job Title - Optional Supervisor’s Name, Title, & Contact Info - Optional Describe duties briefly: - Optional Specific reason for leaving: - Optional Are you ABC (Alcohol Beverage Control) certified? - Free classes are provided, if you said no. This class must be taken within 30 days of hiring. Any server failing to be qualified within 30 days of hire will be terminated. Are you 21 or older? (Must be 21 to open/pour alcohol) If not, please initial that you understand that you are not allowed to open or pour liquor. Write your birth date What is something that you wanted to change or fix at a previous job? Interests and Activities: List your three best qualities: Please write anything about yourself which qualifies you for this job, or expands on your character. - Optional Cover Letter Resumé