First Name*
Middle Initial
Last Name*
Home/Mobile Phone*
Email Address*
Present Address Suite - Apt:
City*
State*
Zip*
Permanent Address Suite - Apt:
Are you a U.S. Citizen or an alien authorized to work in the United States? YesNo
Have you ever been convicted of a felony? YesNo
(MUST BE 21 YEARS OLD TO BARTEND AND 18 YEARS OLD TO SERVE)
Position(s)
Date you can start
ARE YOU BASSET CERTIFIED IN COOK COUNTY? YesNo, not yet
DO YOU HAVE A FOOD HANDLERS PERMIT? YesNo, not yet
ARE YOU CURRENTLY EMPLOYED? YesNo, not yet
IF YES, MAY WE CONTACT YOUR CURRENT EMPLOYER? YesNo
HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE? YesNo
IF YES, WHEN
REFERRED BY:
HIGH SCHOOL:
GRADUATED?: YesNo
COLLEGE:
AREA OF STUDY:
TRADING SCHOOL:
OTHER TRAINING:
SUBJECTS OF SPECIAL STUDY:
SPECIAL TRAINING/SKILLS:
ACTIVITIES:
U.S. MILITARY OR NAVAL SERVICES?: YesNo
PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES? YesNo
LIST BELOW THE LAST 4 EMPLOYERS, STARTING WITH THE MOST RECENT:
FROM
TO
BUSINESS NAME
CITY/STATE
STARTING WAGE
ENDING WAGE
POSITION(S)
REASON FOR LEAVING
Give the names of 3 persons not related to you , whom you have know for at least 1 year.
Name
Phone
How are you acquainted?
Yrs acquainted
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
WOULD THIS BE A SECONDARY JOB? YesNo
IF YES, HOW MANY HOURS DO YOU WORK AT YOUR OTHER JOB?
HOW MANY SHIFTS DO YOU WANT TO WORK HERE PER WEEK?
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter in to any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand that my employment is at will and can be dismissed within the first 30 working days for any reason and without warning."
I Agree
