Application for Employment
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Location *
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Hendersonville
Clarksville
Green Hills
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Position Applied For *
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Server
Hostess
Bartender
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Date *
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Are you eligible to work in the United States? *
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Yes
No
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Name *
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Address *
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Home Phone Number *
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Alternate Phone Number *
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Birth Date *
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Email *
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Have you ever been convicted of a crime? *
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Yes
No
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If yes, please explain
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Employment desired *
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Full time only
Part time only
Full or part
time
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Availability
Days/Hours available to work. Please use "N/A" for not available.
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Monday *
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Tuesday *
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Wednesday *
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Thursday *
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Friday *
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Saturday *
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Sunday *
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How many hours can you work weekly? *
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What date are you available to start work? *
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Education
Name of School - Location - Number of Years Completed - Degree/Diploma
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*
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Skills and qualifications for the specific position for which you are applying. *
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Employment History
Present or Last Position
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Employer *
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Address *
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Supervisor *
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Phone Number *
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Employment Date *
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List the jobs you held and your responsibilities/duties performed *
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Pay or Salary *
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Reason for leaving *
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May we contact this employer? *
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Yes
No
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Previous Position
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Employer *
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Address *
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Supervisor *
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Phone Number *
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Employment Date *
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List the jobs you held and your responsibilities/duties performed *
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Pay or Salary *
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Reason for leaving *
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May we contact this employer? *
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Yes
No
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References
Please list two references other than relatives or previous employers. Please use "N/A" if not applicable.
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Name *
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Position *
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Company *
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Address *
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Phone Number *
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Name *
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Position *
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Company *
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Address *
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Phone Number *
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I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for
immediate termination or employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
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Signature *
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Date *
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Image Verification
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