Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you 18 years or older? *

Yes

No

Do you have reliable transportation to and from work?

Yes

No

Are you authorized to work in the U.S.?

Yes

No

Date you can start

MM

DD

YYYY

Are you applying for:

Full Time

Part Time

Temporary

Days Only

Night Only

Company 1 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company 1 Phone

(###)

###

####

Are you currently employed here?

Yes

No

Can we contact your employer?

Yes

No

Employer phone number

(###)

###

####

Company 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company 2 Phone

(###)

###

####

Are you currently employed here?

Yes

No

Can we contact your employer?

Yes

No

Employers phone number

Country

(###)

###

####

Company 3 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company 3 Phone

(###)

###

####

Are you currently employed here?

Yes

No

Can we contact your employer?

Yes

No

Employers phone number

Country

(###)

###

####

Please check the kind of work you have done

Bartender

Bookkeeper

Bus person

Chef

Computers

Cook

Cook Helper

Counter

Dishwasher

Equipment repair

Food prep

Host/Hostess

Kitchen help

Manager

Marketing

Pastry chef

Register

Salad

Sandwiches

Stock/Inventory

Vegetable cook

Wait staff

Wait staff — Arm service

Wait staff — Tray service

Have you applied to work at the Stone Lodge before?

Yes

No

Have you ever been convicted of a criminal offense (Felony or Misdemeanor) *

Yes

No

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries. I have read these statements and answers to these inquiries. *

I agree