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JOIN.
OUR.
TEAM.

* Asterisk denotes a required field.

APPLICANT INFORMATION

Name *

Phone *

Email *

Address *

City, Zip *

How were you referred to the company?

Location(s) applying to * Dallas on WalnutCarrolltonArlingtonFort Worth in Presidio JunctionThe ColonyDallas in Deep EllumEl PasoMidland

Position(s) applying for * ManagementKitchenServer / Bartender / Host

Are you applying for * Temporary WorkPart TimeFull Time

What days and hours are you available for work? *

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

Can you work: * WeekendsEveningsOvertime

Salary / Wage desired:

PERSONAL INFORMATION

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

If yes, please explain (include date):

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

If yes, state name & relationship:

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

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

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? * YesNo

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

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

If no, describe the functions that cannot be performed

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

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? YesNo

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? YesNo

If yes, please explain

EDUCATION, TRAINING, EXPERIENCE

High School

School Name

School Address

School city, state, zip

Number of years completed

Did you graduate? YesNo

Degree / diploma earned? YesNo

College / University

School Name

School Address

School city, state, zip

Number of years completed

Did you graduate? YesNo

Degree / diploma earned? YesNo

Vocational School

School Name

School Address

School city, state, zip

Number of years completed

Did you graduate? YesNo

Degree / diploma earned? YesNo

Military

Branch

Rank in Military

Total Years of Service

Skills/duties

Related details

EMPLOYMENT HISTORY

Are you currently employed? YesNo

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

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.

Name of Employer

Name of Supervisor

Telephone Number

Business Type

Address

City, state, zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving

May we contact this employer for references?YesNo
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Name of Employer

Name of Supervisor

Telephone Number

Business Type

Address

City, state, zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving

May we contact this employer for references? YesNo
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Name of Employer

Name of Supervisor

Telephone Number

Business Type

Address

City, state, zip

Length of Employment (Include Dates)

Position & Duties

Reason for Leaving

May we contact this employer for references? YesNo

REFERENCES

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

Name - First, Last

Telephone Number

Address

City, state, zip

Occupation

Number of Years Acquainted
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Name - First, Last

Telephone Number

Address

City, state, zip

Occupation

Number of Years Acquainted
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Name - First, Last

Telephone Number

Address

City, state, zip

Occupation

Number of Years Acquainted

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