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Application for Employment
Step
1
of
5
20%
Name
*
First
Last
Email
*
Present Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Permanent Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone (mobile)
Phone (land line)
Are you under 18 years of age?
*
Yes
No
Birth Date
*
MM slash DD slash YYYY
Are you eligible to work in the United States?
*
Yes
No
If hired, do you have reliable transportation to and from work?
*
Yes
No
Explain your transportation capabilities:
*
Emergency Contact
*
First
Last
Emergency Contact Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact Phone
*
Are you a military veteran?
Yes
No
Military Branch
Rank at Discharge
Military Service Start Date
MM slash DD slash YYYY
Military Service End Date
MM slash DD slash YYYY
Education
High School Name & Location
High School Grade Completed
High School Grade Point Average
Did You Graduate?
Yes
No
College Name & Location
College Year Completed
College Grade Point Average
Did You Graduate?
Yes
No
Trade/Business School Name & Location
Trade/Business School Year Completed
Trade/Business School Grade Point Average
Did You Graduate?
Yes
No
Employment Desired
Position(s) Applying for
*
Utility/Dishwasher
Host/Busser
Server
Line Cook
Prep Cook
Catering Server
Catering Cook
What type of position are you applying for?
*
Part Time
Full Time
Date Available
*
MM slash DD slash YYYY
Rate of Pay Desired
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday Hours Available
Tuesday Hours Available
Wednesday Hours Available
Thursday Hours Available
Friday Hours Available
Saturday Hours Available
Sunday Hours Available
Employment History
Employer #1 Name & Location
Employer #1 Date Hired
MM slash DD slash YYYY
Employer #1 Date Ended
MM slash DD slash YYYY
Employer #1 Starting Wage
Employer #1 Ending Wage
Employer #1 Job Duties
Reason for Leaving Employer #1
May we contact employer #1?
Yes
No
Employer #2 Name & Location
Employer #2 Date Hired
MM slash DD slash YYYY
Employer #2 Date Ended
MM slash DD slash YYYY
Employer #2 Starting Wage
Employer #2 Ending Wage
Employer #2 Job Duties
Reason for Leaving Employer #2
May we contact employer #2?
Yes
No
Employer #3 Name & Location
Employer #3 Date Hired
MM slash DD slash YYYY
Employer #3 Date Ended
MM slash DD slash YYYY
Employer #3 Starting Wage
Employer #3 Ending Wage
Employer #3 Job Duties
Reason for Leaving Employer #3
May we contact employer #3?
Yes
No
References
List persons not related to you as references, whom you have known for at least one year.
Reference #1 Name
First
Last
Reference #2 Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Reference #1 Phone
Reference #1 Years Acquainted
Reference #1 Relationship
Personal
Business
Reference #2 Name
First
Last
Reference #2 Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Reference #2 Phone
Reference #2 Years Acquainted
Reference #2 Relationship
Personal
Business
Reference #3 Name
First
Last
Reference #3 Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Reference #3 Phone
Reference #3 Years Acquainted
Reference #3 Relationship
Personal
Business
Additional References (if any)
Are you known to schools/references by another name?
Yes
No
Other Name
First
Last
Agree to Terms Before Submitting Application
1. I authorize investigation of all statements contained on this application except where I have requested on this form that no investigation be made. 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the fore going inquires. 3. I understand that nothing contained in this employment application or in the granting of an interview is intended to nor does it create an employment contract between the company and myself for either employment or the providing of any benefit. In the event that an employment relationship is established, I understand that I have the right to terminate my employment at any time for any reason, and the company retains the same right regarding the discontinuation of my employment.
Authorization
*
I understand and agree to the above provisions
Server Applicants Only
If tip allocation is required, I agree that allocating tips based upon hours worked per tipped employee reflects a good faith approximation of the actual distribution of income among the tipped employees in this establishment. Note: IRS rules require that the allocation method "reflects a good faith approximation of the actual distribution of tip income."
Tip Allocation Agreement (Server Applicants Only)
I agree with the above statement
It is Arrowstar Hospitality Partners LLC policy that no employee or applicant will be discriminated against because of race, gender, sexual orientation, marital status, color, religion, disability, veteran status or any other characteristic protected by federal, state, or local law. Employment decisions are based on merit, qualifications, and abilities.