Personal Information
Your Name
Your Address
Your Phone
The best time to call you
Morning Afternoon Night
Have you worked in a restaurant before? Choose One Yes No
If hired, do you have a reliable means of transportation to get to work?
Choose One Yes No
Minimum Salary expected:
Are you at least 18 years old? Choose One Yes No
Are you legally eligible for employment in the US? Choose One Yes No
(Proof of US citizenship or immigration status will be required if hired.)
Have you been convicted of a crime? Choose One Yes No
(Massachusetts applicants should not include misdemieanor convictions)
If Yes, state the nature of the offense and disposition of the case. Include dates and places.
(Note: The existence of a criminal record does not constitute an automatic bar to employment.)
Your Employment Information
Are you seeking
Choose One Temporary Ful-Time Part-Time
What position(s) are you applying for?
Server Bartender Kitchen Manager Host/Hostess
What hours and shift(s) would you prefer to work
Lunch time Dinner time Nights
What hours and shift(s) would you prefer NOT to work
What hours and shift(s) are you not available to work
Are you willing to work overtime?
Overtime Yes No Weekend Yes No Holiday Yes No
Are you currently employed? Choose One Yes No
If hired, when would you be able to start?
Have you ever worked for Kaysons Grille before? Choose One Yes No
If yes, name used:
List any friends or relatives employed by this company:
Are you on layoff and subject to recall? Choose One Yes No
Have you ever been discharged or asked to resign from any position?
If yes, please describe
Education
High School
Choose Grade Completed 9 10 11 12 GED
Location of School
If in high school, are you enrolled in a recognized co-op program?
If yes, identify program and school
College
Choose Years Completed 1 2 3 4 5 6 7 8
Degree & Major
Minor
Military Service
Are you a veteran?
If yes, give dates of service: From To
List any special training
Your Work History
COMPANY 1
Address
Phone Number
may we contact? Yes
Dates of Employment
From To
Salary
Beginning End
Job Title
Supervisor's Name
& Title
Describe duties briefly
Reason for leaving
COMPANY 2
COMPANY 3
COMPANY 4
How many jobs have you had in the last 5 years? 1 2 3 4 5 6 7 8 9 more than 10
Why are you seeking a new position at this time?
List any business-related outside interests and organizations you're active in:
1.
2.
3.
