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Nyack Restaurant
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Contact Information
Name
Phone
Email
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Requested Information
Preferred Position
Choose an option
Waiter/Waitress
Host/Hostess
Bartender
Management
Cooking
Cashier
Busboy
Dishwasher
Are you Currently Employed?
Choose an option
Yes
No
What is your salary requirement (if any)?
What is your current occupation?
Number of hours desired:
When are you available to work?
Are there any days you are not available?
What is your past food experience?
Do you have your own transportation?
Choose an option
Yes
No
What is your past education?
Please list any volunteer work you do:
What do you like to do in your spare time?
Business name of previous employment:
Employer/Manager's Name
Employer/Manager's Phone Number
Why did you leave?
May we call for a reference?
Choose an option
Yes
No
Business name of another previous employment:
Employer/Manager's Name
Employer/Manager's Phone Number
Why did you leave?
May we call for a reference?
Choose an option
Yes
No
Name of First Reference (excluding family)
Phone Number
Name of Second Reference (excluding family)
Phone Number
Name of Third Reference (excluding family)
Phone Number
Desired hours per week
Desired hourly wage:
At this job, constant cleaning is required, is this something you will mind doing?
Choose an option
Yes
No
We require that you maintain a positive mental attitude with co-workers and customers, do you feel you will be able to do this?
Choose an option
Yes
No
Five years from now what do you see yourself doing?
Is there any other information that you feel we should know?
Please list any times you are NOT available: ex: MON: 10am-3pm; 7:45pm-9pm WED: 10am-3pm SUN: 7am-12:30pm
Do you have a valid driver's license?
Do you have any vacations planned in the next 6 months? ex: Yes, August 15th-August 23.
I declare that these statements in this application are true to the best of my knowledge: Enter your electronic signature. (First & Last Name)
Signature Date
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October 2020
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