Position Applied For:	- Choose - Server Host/Hostess Bartender Wait Staff Cook Kitchen Manager Other
Name (First, Last):
Current Address:
City, State, Zip:
(Please Enter Previous Address if at Current Less Than One Year)
Previous Address:
City, State, Zip:
Email Address:
Home Phone:
Cell Phone:
Are You 18 or Older?	Yes No
Legal US Citizen?	Yes No
Available Start Date:
Current/Recent Employment
Dates Employed Position Held Employer Name Position Details
Previous Employment
Dates Employed Position Held Employer Name Position Details
Additional Comments: