Skip to content

Home
Food
Specials
- Weekly Specials
Beer
Locations
Employment

Home
Food
Specials
- Weekly Specials
Beer
Locations
Employment

Employment

Pre-Employment Questionnaire / Equal Opportunity Employer

Use the form below to inquire about employment opportunities with our company.

Personal
Full Name (First + Middle + Last)*
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Telephone*
Email*
Social Security #*
Do you have the legal right to live and work in the U.S.?*
- Yes
- No
Names of friends or relatives employed in this organization
Position of Interest
Have you ever been employed by this organization before?*
- Yes
- No
If yes, list dates of employment
Have you ever been convicted of a felony?*
- Yes
- No
If yes, list dates, offenses, and disposition.
Convictions are not an automatic disqualification from employment.
Employment Interests
Date Available*
MM slash DD slash YYYY
Type of Employment You Are Seeking:*
- Part Time
- Full Time
Position of Interest*
Education
Where did you attend high school & college? (Click the + button to add a new row)*
School Name & Address Major Years Completed GPA Degree/Diploma
References
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)
Name Address Occupation Years Known
Employment History
Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
Company Name (Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list another previous job?
- Yes
- No
Company Name (Third Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list a 4th job?
- Yes
- No
Company Name (Fourth Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Acknowledgement
Insert Your Legal Terms of Service Here
Digital Signature:
Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date
MM slash DD slash YYYY

In the mood for a romantic atmosphere?

How about a great hand-cut steak?