Join Our Team Download PDF here or fill up the form below: APPLICATION FOR EMPLOYMENT (Please answer all questions)WE ARE AN EQUAL OPPORTUNITY EMPLOYERApplying For Date MM slash DD slash YYYY NOTICE: Applicant should read the following information carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statues. Information requested on this application will not be used for any purpose prohibited by law.Name First Middle Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived at the above address? (In years and/or months - e.g., 5 years, 4 months)Are you 18 years old or older? Yes No If not, state date of birth MM slash DD slash YYYY If under age 18, how many hours per week are you employed elsewhere? Have you had any name changes this employer should know about in order to verify job or education history? Yes No Previous Name Do you have transportation to and from work? Yes No Are you authorized to work in the U.S.? Yes No Position applied for? Date you can start Month Day Year Salary desiredAre you applying for Full Time Part Time Temporary Days Only Nights Only Days/Nights Who recommended you for this position? First Middle Last EDUCATIONHigh School Address Grade or Degree Completed Graduate Yes No College or University Address Grade or Degree Completed Graduate Yes No Specify Others Address Grade or Degree Completed Graduate Yes No Military Service Schools Attended Address Grade or Degree Completed Graduate Yes No Military Service Record Yes No War VeteranFrom MM slash DD slash YYYY To MM slash DD slash YYYY Branch Highest Grade PLEASE CHECK THE KIND OF WORK YOU HAVE DONE: Bartender Bookkeeper Bus Person Carver Chef Cook Cook helper Counter Dietitian Dishwasher Food Prep Technician Fountain Host or Hostess Kitchen helper Manager Pantry Pastry Cook Porter Pot Washer Salad Sandwiches Stenographer Typist Vegetable Cook Wait Staff Wait Staff-Arm Service Wait Staff-Tray Service PREVIOUS RESTAURANT EXPERIENCE (LIST BELOW YOUR LAST FOUR EMPLOYERS, STARTING WITH MOST RECENT ONE FIRST)Company Address Phone Date Started MM slash DD slash YYYY Date Left MM slash DD slash YYYY Company BusinessYour PositionImmediate Supervisor TitleYearly SalaryReason For Leaving Company Address Phone Date Started MM slash DD slash YYYY Date Left MM slash DD slash YYYY Company BusinessYour PositionImmediate Supervisor TitleYearly SalaryReason For Leaving Company Address Phone Date Started MM slash DD slash YYYY Date Left MM slash DD slash YYYY Company BusinessYour PositionImmediate Supervisor TitleYearly SalaryReason For Leaving Company Address Phone Date Started MM slash DD slash YYYY Date Left MM slash DD slash YYYY Company BusinessYour PositionImmediate Supervisor TitleYearly SalaryReason For Leaving Job DutiesAre there any job duties that you would be unable to perform?Is there anything we could do to accommodate you so you could perform all the required job duties?Have you ever applied to this company before? Yes No If yes, where? Date MM slash DD slash YYYY Are you now employed? Yes No Telephone numberIN CASE OF EMERGENCY NOTIFY First Last PhoneRelationship 1. I authorize investigation of all statements contained in this application. 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries. 3. I have read these statements and answers to these inquiries Yes No Date MM slash DD slash YYYY SignatureMax. file size: 100 MB. A service of Wisconsin restaurant Association • Madison, Wi Δ
