Kitchen Employment Application - St Ambrose Cellars

Personal Information

Layout

Full Name: *

Date: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Email: *

Phone: *

Date Available:

Desired Pay:

Position Applied For:

Employment Desired:

Desired Hours per Week

Employment Eligibility

Are you a U.S. citizen?

Yes
No

*If No, are you allowed to work in the U.S.?

Yes
No

Have you ever worked for this employer?

Yes
No

Layout

If Yes, Starting Date:

Ending Date:

Have you ever been convicted of a felony?

Yes
No

If Yes, please explain:

Employment History

Resume

Click or drag files to this area to upload. You can upload up to 2 files.

If resume covers this information, skip down to "Background Check Consent"

Employer #1:

Email:

Phone:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Starting Pay:

Ending Pay:

Job Title:

Responsibilities:

Layout

Starting Date:

Ending Date:

Reason for Leaving:

Employer #2:

Email:

Phone:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Starting Pay:

Ending Pay:

Job Title:

Responsibilities:

Layout (copy)

Starting Date:

Ending Date:

Reason for Leaving:

References

Layout

Reference #1:

Company:

Email:

Relationship:

Title:

Phone:

Layout (copy)

Reference #2:

Company:

Email:

Relationship:

Title:

Phone:

Layout (copy) (copy)

Reference #3:

Company:

Email:

Relationship:

Title:

Phone:

Background Check Consent

If asked, are you willing to consent to a background check?

Yes
No

Disclaimer

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Signature

Date:

Print Name