Name

Email Address

Phone

Address, City, State

Zip Code

Are you at least 18 years old? Are you at least 18 years old? Yes No

Did anyone refer you? If so, who?

Have you ever been convicted of a crime? If yes, how have you changed?

What kind of job are you looking for? What kind of job are you looking for? Host - friendly, multi-tasker, articulate, adaptable to change, can lift heavy objects, sense of urgency, agile Server - friendly, multi-tasker, articulate, adaptable to change, can lift heavy objects, sense of urgency, agile Dishwasher - multi-tasker, can lift heavy objects, stand for long periods of time, sense of urgency Cook - multi-tasker, can lift heavy objects, stand for long periods of time, sense of urgency Chef - 5+ years of cooking Asian food Manager - 5+ years of restaurant management history

What is your availability?

Who were your last two employers? And, how long were you employed at each?

Work Reference Name

Work Reference Email

Work Reference Phone

Do you have any experience in the restaurant industry? If so, how long and briefly describe.

Describe your worst job experience.

Describe your best job experience.

What are your future goals and dreams?