1Personal Information2Professional Information3Work history Name* Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email Address* Are You Over 18? Yes No Are You Over 21?* Yes No Education Level: Some High School High School Graduate GED or Equivalency Some College Currently in College College Graduate Who were you referred by, if anyone? How will you be getting to work? PROFESSIONAL INFORMATIONPlease complete all the information in the following section.What position are you applying for with us?* How long have you been working in Hospitality? What is your desired starting salary? What is your earliest available start date? Have you previously applied or worked for us? No Applied Worked What type of employment are you applying for? Full-time Part-time Are you currently employed? Yes No May we contact your current employer? Yes No Do you have any availability limitations? Yes No (If “YES” please explain here)Have you ever been charged with, or convicted of a felony? No Yes, charged but not convicted Yes, convicted (If “YES” please explain here) WORK HISTORYPlease complete all the information in the following section. Beginning with your current, or most recent employer, please list your four (4) previous employers here.CURRENT OR MOST RECENT EMPLOYER #1Company name and address: Company phone number:Contact person - name and title: Employment START date: Month Day Year Starting position: Starting salary: Employment END date: Month Day Year Ending position: Ending salary: Reason for leaving: PREVIOUS EMPLOYER #2Company name and address: Company phone number:Contact person - name and title: Employment START date: Month Day Year Starting position: Starting salary: Employment END date: Month Day Year Ending position: Ending salary: Reason for leaving: PREVIOUS EMPLOYER #3Company name and address: Company phone number:Contact person - name and title: Employment START date: Month Day Year Starting position: Starting salary: Employment END date: Month Day Year Ending position: Ending salary: Reason for leaving: PREVIOUS EMPLOYER #4Company name and address: Company phone number:Contact person - name and title: Employment START date: Month Day Year Starting position: Starting salary: Employment END date: Month Day Year Ending position: Ending salary: Reason for leaving: TELL US MORE ABOUT YOURSELF*Please explain any gaps in your employment history, and list any professional qualifications, special skills or talents that you think we should know about. This is your opportunity to give us your best sales pitch about yourself. Why do you want to work for Bone Garden Cantina? Why would you make a good addition to our team? Why would we be happy that we hired you?APPLICANT’S AUTHORIZATION* Authorize/Agree “By clicking here I do certify that all of the facts contained in this Employment Application are true and complete to the best of my knowledge, and understand that if employed by Bone Garden Cantina, any false statements appearing on this application shall be grounds for immediate termination. I authorize the investigation of all information provided herein, and grant all previous employers listed on this application permission to provide Bone Garden Cantina with any and all information concerning my employment, work habits and any other pertinent information about me, personal or otherwise. I further release all parties from any liability for potential damages, real or imagined, that may result from the release, utilization and/or consideration of any such information.” Δ
