APPLICATION FOR EMPLOYMENTTo be considered for employment, this form must be filled out completely.

PERSONAL DATA
Today’s Date_____________________________ Date of Birth___________________________ (MM/DD/YYYY)
Full Legal Name___________________________________________________________________________________________
LastFirst

MiddleMaidenCurrent address___________________________________________________________________________________________StreetCityState

Zip

Email Address__________________________________________________________________
Phone Numbers Home (____)_____________________ Daytime (____)____________________ Cell (____)____________________Are you currently authorized to work in the United States? q Yes q No (Proof of eligibility will be required prior to hire.)

EMPLOYMENT DESIRED
What position are you applying for?____________________________________________________________________________________
Hours desired q Full-time (40+ hours) q 30+ q 20-29

q Under 20

Date you can start ___________________________

Availability

MondayTuesday

WednesdayThursdayFridaySaturday

SundayExamples
3pm-11pm
All Daytototototototo

EDUCATION
SchoolName/City/State

Years CompletedHigh School1

2

34College/Trade1234

Did you Graduate?

q Yes q No
q Yes q No

CRIMINAL RECORD
Have you ever been convicted of a crime, other than traffic violations?

q Yes q No

If yes, explain nature and location of offense(s), how recently such offense(s) was/were committed and sentence imposed etc.

____________________________________________________________________________________________________________________________________________________________________________________________________________

EMPLOYMENT HISTORY
Name/City/Phone

Dates ofEmployment

Position

Pay Rate

From __________Start $__________

To

End $ ____________________

Reason forLeaving

Supervisor’sName
May we contact?

q Yes q No

Briefly describe your duties: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

From __________Start $__________

To

End $ ____________________

May we contact?

q Yes q No

Briefly describe your duties: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
If your recent employment does not relate to the food service industry, please describe your restaurant experience: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________REFERENCES
Name __________________________________________________Name __________________________________________________

Relationship______________________________________________

Relationship______________________________________________

Position_________________________________________________

Position_________________________________________________

Employer________________________________________________

Employer________________________________________________

Phone__________________________________________________

Phone__________________________________________________

Email___________________________________________________

Email______________________________________________

BEER ESSAY
Do you like and drink beer?

q Yes q No

Are you familiar with the brewing process?

Do you consider yourself a craft beer aficionado?

q Yes q No

q Yes q No

What is the greatest beer you’ve ever had and why? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________If you could only drink one beer for the rest of your life what would it be and why? (It could be the same as your greatest, but we understandit may not be.) _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________RELEASE
Please read the following and sign below if you understand.
•I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that theanswers given by me are true and correct.

•I hereby authorize thorough investigation of my references, work record, education and other matters related to my suitability foremployment. I authorize the references I have listed to disclose to the company all letters, reports and other information related to mywork records.

•I understand that nothing contained in this application, or conveyed during my interview that may be granted or during my employment
if hired, is intended to create an employment contract between the company and me. I understand and agree that if I am employed, myemployment is for no definite or determinable period and may be terminated at any time, with or without prior notice .

Applicant Signature_____________________________________________________________ Date _________________ (MM/DD/YYYY)