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Online Employee Application Form
Personal Information
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Current Age
*
16 or Older
18 or Older
21 or Older
Location Preference
*
North Springfield
South Springfield
Hours
*
Part Time
Full Time
Available Start Date
*
MM
DD
YYYY
Referral
Job Preference
*
Dish
Busser
Server
Cashier
Cook
Shift Availability
Monday
*
Lunch
Dinner
Both
Unavailable
Tuesday
*
Lunch
Dinner
Both
Unavailable
Wednesday
*
Lunch
Dinner
Both
Unavailable
Thursday
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Lunch
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Both
Unavailable
Friday
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Lunch
Dinner
Both
Unavailable
Saturday
*
Lunch
Dinner
Both
Unavailable
Sunday
*
Lunch
Dinner
Both
Unavailable
Education
High School:
*
Last School Attended: Years Completed:
College
Last School Attended: Degree/Major: Years Completed:
Graduate School:
Last School Attended: Degree/Major: Years Completed:
Employment History 1
Name of Company/Employer
*
Dates Employed
*
Position Held
*
Supervisor Phone
*
(###)
###
####
Job Description
*
Salary
*
Reason for Leaving
*
Employment History 2
Name of Company/Employer
Dates Employed
Position Held
Supervisor Phone
(###)
###
####
Job Description
Salary
Reason for Leaving
Employment History 3
Name of Company/Eployer
Dates Employed
Position Held
Supervisor Phone
(###)
###
####
Job Description
Salary
Reason for Leaving
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