Fields marked (* ) are required.
Location
Avondale, AZ
Chandler, AZ
Cortez, CO
Farmington, NM
Lake Havasu, AZ
Moab, UT
Page, AZ
Woodland Park, CO Position Sought *
Assistant Manager
Busser
Chef
Dishwasher
General Manager
Host
Line Cook
Prep Cook
Waiter
First Name *
Last Name *
Date *
Address (Street, City, State, Zip) *
Primary Phone *
Alternate Phone
Other Phone
Social Security Number *
Email Address *
On what date would you be available for work? *
Desired Wage/Salary *
Are you a U.S. citizen or authorized to work in the U.S. without any restriction? Please select an option Have you ever been convicted of a felony? Please select an option If yes, please describe circumstances Have you ever been involuntarily terminated or asked to resign from any position of employment? Please select an option If yes, please describe circumstances If selected for employment, will you submit to a pre-employment drug screening test? Please select an option EDUCATION High School (Name, Location, Years Attended, Degree Received, Major) College (Name, Location, Years Attended, Degree Received, Major) Other (training, certifications or licenses held) List other information pertinent to the employment you are seeking How did you learn about the position? *
EMPLOYMENT (Most Recent First) 1. Employer Job Title Dates Employed Prior position with this employer if any Address (Street, City, State, Zip) Phone Supervisor Starting Salary Ending Salary Duties Performed Reason for Leaving 2. Employer Job Title Dates Employed Prior position with this employer if any Address (Street, City, State, Zip) Phone Supervisor Starting Salary Ending Salary Duties Performed Reason for Leaving 3. Employer Job Title Dates Employed Prior position with this employer if any Address (Street, City, State, Zip) Phone Supervisor Starting Salary Ending Salary Duties Performed Reason for Leaving 4. Employer Job Title Dates Employed Prior position with this employer if any Address (Street, City, State, Zip) Phone Supervisor Starting Salary Ending Salary Duties Performed Reason for Leaving Write the following word * ACKNOWLEDGEMENT AND AUTHORIZATION
I certify that answers given herein
are true and complete to the best of my knowledge and I authorize
investigation of all statements contained in this application for
employment as deemed necessary in arriving at an employment decision.
This application for employment
shall be considered active for a period of time not to exceed 45 days.
Any applicant wishing to be considered for employment beyond this period
of time should inquire whether applications are being accepted at that
time.
I, hereby, understand and
acknowledge that, unless otherwise defined by applicable law, any
employment relationship with this organization is of an "at will"
nature, which means that the Employee may resign at any time and the
Employer may discharge Employee at any time with or without cause. It
is further understood that this "at will" employment relationship may
not be changed by any written document or by conduct unless such change
is specifically acknowledged in writing by an authorized executive of
this organization.
In the event of employment, I
understand that false or misleading information given in my application
or interview(s) may result in discharge. I understand, also, that I am
required to abide by all rules and regulations of the employer.
