Spanish Island Restaurant Job Application

Personal Information

Full Name

Date

Address

City

State

Zip

Phone

Date of Availability

Social Sec. No.

Desired Salary

Desired Position

Education

High School

Address

From

Did you graduate?

Yes No

College

Address

From

Did you graduate?

Yes No

Work History

Are you a citizen of the United States? Yes
No

Are you authorized to work in the United States? Yes
No

Have you ever been convicted of a felony?* Yes
No

Current or Previous Employer

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

From

Reason for Leaving

May we contact your previous employer for a reference? Yes
No

Job Duties

Hours you can work	Job duties you are able to perform
Monday	Make Drinks	Wash Dishes
Tuesday	Serve Tables	Clean Kitchen
Wednesday	Make Tacos & Salads	Clean Bathrooms
Thursday	Clean Tables	Take out trash
Friday	Clean Counters	Operate Fryer
Saturday	Sweep Floor	Cook Food
Sunday	Mop Floor	Lift up to 50lbs

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date