Employment – Tecla Rustic Bistro & Bar

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City ZIP Code

Are you eligible to work in the U.S.?*

Yes
No

Are you older than 18?*

Yes
No

If no, do you have a work permit?

Yes
No

Position Applying For*

Education

School Name

Location of School

Years Attended

Degree Recived

Major

Past Employment

Employer

Phone

City

Position

Supervisors Name

Reason for leaving

May we contact them?

Yes
No

Dates Employed

Pay Rate

Availability

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Sunday*

Weekly preferred Hours

Preferred Hourly Rate

Acknowledgement and Authorization

I certify that all answers given herein are true and complete to the best of my knowledge.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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Education

Past Employment

Availability

Acknowledgement and Authorization