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Employment Application
First Name
Last Name
Email
Phone Number
Address Line 1
Address Line 2
City
State
ZIP Code
Are you over 21 years of age?
Authorized to work in the U.S.?
Any relatives working with us?
Who referred you to us?
How were you referred to us?
Self
News Paper Ad
Employee Referral
College
Internet
Job Fair
Employment Agency
Other
Do you have a driver’s license?
Select
Yes
No
Do you have reliable transportation?
Select
Yes
No
Have you been terminated by an employer?
If yes, explain
Position Applied For
Bar Tender
Waiter
Hookah Chef
Expected Salary
Joining Date (if known)
Available Work Hours per Week
Availability to Start Work
Holidays
Days
Evenings
Weekends
Work Description
Previous Work Description
High School
Graduated?
College
Graduated?
Other Education (if applicable)
Graduated?
Company Name
Company Phone
Company Address
Previous Job Start Date
Previous Job End Date
Supervisor's Name
Supervisor's Phone
Supervisor's Position
Final Wage
Reason for Leaving
Describe Your Duties
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