Applicant Information

Fields marked with an * are required

First Name *

Last Name *

Phone *

Email *

Address *

City *

Zip *

How were you referred to Company? *

Location Applying for *

Frisco
Irving
Flowermound
Coppell

Position(s) applying for *

Kitchen Staff
Server / Bartender / Host
Management

Applying for *

Temporary Work
Part time
Full time

What days and hours are you available for work? *

If hired, on what date can you start working? *

Can you work on *

Weekends
Evenings
Overtime

Salary / Wage desired *

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PERSONAL INFORMATION

PERSONAL INFORMATION

Have you ever applied to / worked for this Company before? *

If yes, please explain

Do you have any friends, relatives, or acquaintances working for Company? *

If yes, state name & relationship

If hired, would you have transportation to/from work? *

Are you over the age of 18?* (All staff are required to provide a copy of their driver’s license) *

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *

If hired, are you willing to submit to and pass a controlled substance test? *

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? *

If no, describe the functions that cannot be performed.

Have you ever been convicted of a criminal offense (felony or misdemeanor)? *

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.

Do you speak, write or understand any foreign languages? *

If yes, describe which languages(s) and how fluent of a speaker you consider yourself to be.

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us? *

If yes, please explain.

EDUCATION, TRAINING, EXPERIENCE

EDUCATION, TRAINING, EXPERIENCE

High School

Did you go to highschool? *

Name

Address

City

Zip

Number of years completed

Did you graduate? *

Degree / diploma earned:

EDUCATION, TRAINING, EXPERIENCE

College / University

Did you go to college? *

Name

Address

City

Zip

Number of years completed

Did you graduate? *

Degree / diploma earned

EDUCATION, TRAINING, EXPERIENCE

Vocational School

Did you go to vocational school? *

Name

Address

City

Zip

Number of years completed

Did you graduate? *

Degree / diploma

Military

Branch

Rank in Military

Total Years of Service

Skills/duties

Related details

EDUCATION, TRAINING, EXPERIENCE

EMPLOYMENT HISTORY

Below, please describe past and present employment positions, dating back five years. Please
account for all periods of unemployment.
Even if you have attached a resume, this section must be completed.

Are you currently employed? *

If you are currently employed, may we contact your current employer? *

Name of Employer

Name of Supervisor

Telephone Number

Business Type:

Address

City

Zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving

May we contact this employer for references? *

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Name of Employer

Name of Supervisor

Telephone Number

Business Type

Address

City

Zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving?

May we contact this employer for references? *

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Name of Employer

Name of Supervisor

Telephone Number

Business Type

Address

City

Zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving

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EDUCATION, TRAINING, EXPERIENCE

EMPLOYMENT HISTORY

List below three persons who have knowledge of your work performance within the last four years.
Please include professional references only.

First Name

Last Name

Telephone

Address

City

Zip

Occupation

Number of Years Acquainted

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First Name

Last Name

Phone

Address

City

Zip

Occupation

Number of Years Acquainted

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First Name

Last Name

Phone

Address

City

Zip

Occupation

Number of Years Acquainted

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Please Read and Check Each Paragraph

I CERTIFY THAT I HAVE NOT PURPOSELY WITHHELD ANY INFORMATION THAT MIGHT ADVERSELY AFFECT MY CHANCES FOR HIRING. I ATTEST TO THE FACT THAT THE ANSWERS GIVEN BY ME ARE TRUE & CORRECT TO THE BEST OF MY KNOWLEDGE AND ABILITY. I UNDERSTAND THAT ANY OMISSION (INCLUDING ANY MISSTATEMENT) OF MATERIAL FACT ON THIS APPLICATION OR ON ANY DOCUMENT USED TO SECURE CAN BE GROUNDS FOR REJECTION OF APPLICATION OR, IF I AM EMPLOYED BY THIS COMPANY, TERMS FOR MY IMMEDIATE EXPULSION FROM THE COMPANY. *

I UNDERSTAND THAT IF I AM EMPLOYED, MY EMPLOYMENT IS NOT DEFINITE AND CAN BE TERMINATED AT ANY TIME EITHER WITH OR WITHOUT PRIOR NOTICE, AND BY EITHER ME OR THE COMPANY. *

I PERMIT THE COMPANY TO EXAMINE MY REFERENCES, RECORD OF EMPLOYMENT, EDUCATION RECORD, AND ANY OTHER INFORMATION I HAVE PROVIDED. I AUTHORIZE THE REFERENCES I HAVE LISTED TO DISCLOSE ANY INFORMATION RELATED TO MY WORK RECORD AND MY PROFESSIONAL EXPERIENCES WITH THEM, WITHOUT GIVING ME PRIOR NOTICE OF SUCH DISCLOSURE. IN ADDITION, I RELEASE THE COMPANY, MY FORMER EMPLOYERS & ALL OTHER PERSONS, CORPORATIONS, PARTNERSHIPS & ASSOCIATIONS FROM ANY & ALL CLAIMS, DEMANDS OR LIABILITIES ARISING OUT OF OR IN ANY WAY RELATED TO SUCH EXAMINATION OR REVELATION. *

If you are a human seeing this field, please leave it empty.

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Applicant Information

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