Tell us about you! Name * First Name Last Name Address * City * State * Zip code * Phone * (###) ### #### Email Address * Availability (# of days you are looking work) * 1 day 2 days 3 days 4 days 5 days 6 days Shift Availability * Days Nights Both Date Available to Begin * MM DD YYYY Position Aplying For * Bartender Server Assistant Food Runner Dishwasher Cook Host/Hostess Server Management Prep Cook Have you ever been convicted of a felony, arrested or convicted for DUI? * Yes No If yes, please explain Work History (begin with most recent) Company * Phone * (###) ### #### Company Phone (###) ### #### Company Phone (###) ### #### Comments / Things We Should Know * Thank you! We will contact you soon!