Kay's Burden Lake Restaurant Inc.

Application for Employment

Personal:

Last Name:                                                    First:

Street Address:

City                                                            State                                        Zip

Phone Number:                                          Date of Birth:                     EMAIL:

Must be at least 14 yrs old for Kitchen or Bussing and 18 yrs old for Wait Staff or Bartending.

Desired Position:    Kitchen    Bus Person    Wait Staff    Bartender

Date you can start:          Days you can work  (3pm - 11pm):

                                                                    S M T W T F S

How many days a week do you wish to work?     

If under 18, do you have working papers?     Yes        No

Most Recent Employer:

Name of Employer:    Phone Number:

Address: 

Supervisors Name:         May we contact this employer?   Yes  No

Employment Dates:     From                                     TO

Education:

High School:                                                                                       Number of years?                                Graduate?

Other:

Additional Info:

The information I am presenting in this application is true and correct to the best of my knowledge and I understand that any falsification or misrepresentation could result in my discharge. I authorize Kay's Burden Lake Restaurant Inc. or its representatives to contact all former employers and to further inquire as to any information given by me on this application.

Signature:                             Date: