Application for Employment

Name*
First Last
Email*
Present Address*
Street Address Address Line 2 City State ZIP Code
Permanent Address
Street Address Address Line 2 City 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

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 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.

Application for Employment

Step 1 of 5

Education

Employment Desired

Employment History

References

Agree to Terms Before Submitting Application

Server Applicants Only