employment application

Required fields are marked in RED. Use TAB to move from field to field, as RETURN will submit the application. Be sure to include complete and accurate phone numbers with area code.

To be eligible for employment all applicants must have at least 1 year employment in the food and alcoholic beverage industry and be available to work for at least three months.

REQUIRED PERSONAL INFORMATION
Position Applying For:
First Name:
Last Name:
Address, City, State, Zip:
Phone Number:
Email Address:
What is your age?
Are you a citizen of the United States?	Yes No
Are you authorized to work in the United States?	Yes No
Date you can start (MMDDYY):
ADDITIONAL PERSONAL INFORMATION
Any particular dates you may need off (weddings, family reunions, ...):
What was the longest length you have worked at a job?
Do you need us to provide housing?	Yes No
Were you ever convicted of a felony?	Yes No
If convicted, please explain:
What is your expected salary?
How will you contribute to the success of the business?
Do you speak spanish fluently?	Yes No No
Have you ever served in the U.S. Military or Navy?	Yes No
If so, what was your rank?
Are you presently a member in the National Guard or Reserve?	Yes No
Have you applied to work here before?	Yes No
Who referred you to us?
Please give a brief description of what you think this job will entail:
Have you ever used a cash register?	Yes No
Have you ever worked with the public?	Yes No
If YES, explain your work with the public:
Additional training you think you need for this job:
EDUCATION
High School Name and Location:
Number of Years in High School:
Did you graduate from high school?	Yes No
College Name and Location:
Number of years in college:
Did you graduate from college?	Yes No
PRESENT EMPLOYMENT
Are you employed now?	Yes No
Name of Present Employer:
Phone Number:
PREVIOUS EMPLOYMENT #1 (Before Present)
Name of Employer #1:
Address, City, State, Zip:
Phone Number:
Your Job Title:
Name of Your Supervisor:
Work Performed:
Starting Salary/Hourly Rate:
Final Salary/Hourly Rate:
Dates Employed (From/To):
Reason for Leaving:
PREVIOUS EMPLOYMENT #2 (Before Previous)
Name of Employer #2:
Address, City, State, Zip:
Phone Number:
Your Job Title:
Name of Your Supervisor:
Work Performed:
Starting Salary/Hourly Rate:
Final Salary/Hourly Rate:
Dates Employed (From/To):
Reason for Leaving:
EMPLOYMENT PREFERENCES
Which of these jobs did you like the most?
Explain What you liked most about the job:
If you do NOT want us to contact an employer, put name here and explain:
PERSONAL REFERENCE #1
Name of Reference (not relative or former employer):
Address, City, State, Zip:
Phone Number:
Years Acquainted:
PERSONAL REFERENCE #2
Name of Reference (not relative or former employer):
Address, City, State, Zip:
Phone Number:
Years Acquainted:
ELIGIBILITY
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment eligibility and eligibility and identity within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination. Identity may be established with a valid drivers license, a state or school photo I.D. card, a voter registration card, or a military or draft card. Ask about other qualifying documents. Employment eligibility may be established with a social security card, or a birth certificate (an original or a certified copy). Ask about other qualifying documents. Employment eligibility and identity both may be established with a U.S. passport, a green card, or a foreign passport with employment authorization attached. Ask about other qualifying documents.
CONSENT
Please read thru this section carefully and acknowledge your understanding by selecting YES below. 1. Certification - I certify that all of the statements made by me on this application for employment are true, correct, and complete to the best of my knowledge. 2. Consent to Conduct Background Investigation - I give hotspot cafe and lounge permission to verify all information given by me on this application, and to interview the employers (except those specifically excluded), educational institutions and personal references listed by me on this application. 3. Release To Past Employers, Educational & Personal References - I authorize all current or previous employers (including managers and/or supervisors), educational institutions, and other references listed in this application (unless specifically excluded) to discuss with hotspot cafe and lounge my relevant personal and employment history. I consent to the oral or written release of such information and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of hotspot cafe and lounge.
Do you consent to the above?	Yes No