Employment - Plaza Diner

Applicant Information

All fields with an asterisk must me filled in.

Today's Date *

Name *

Please enter first and last name

Email Address *

Cell Number *

Home Phone Number

Street Address *

Unit Number

Please leave blank if this does not apply.

City *

State *

Zip Code *

Are you a citizen of the United States? *

If you are not a citizen of the United States, are you authorized to work in the U.S.? *

Position Applying For: *

Date Available *

If hired, how soon can you start?

Desired Salary

Have you ever worked for this company? *

If yes, please list when and for which restaurant or, if not, please type the word "No" in the space below.

Have you ever been convicted of a felony? Answering

If yes, please explain below.

Education

Please fill out the fields below that apply to your education.

What High School did you attend? *

School Address

From

Did you graduate? *

Degree Earned (If Applicable)

Previous Employment

Please start with your most recent employer.

Company Name *

Phone Number

Employed From *

Employed To *

Street Address

City

State

Zip

Supervisor's Name *

Job Title *

Starting Salary *

Ending Salary *

Responsibilities *

Reason for Leaving

May we contact your previous Supervisor for a reference?

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