Personal Information      * Required Fields

* How were you referred:
  *  Positions Available (Please Choose)

Prep-Cook Dishwasher
Host/Hostess
Bartender
Sous-Chef

 
* Full Name:
* Address:
* City:
* State:
* Zip:
* Your E-mail:
* Phone:
* Mobile/Other:
* 18 Years Or Older:
* If NO, please explain:
* Earliest date you can start:
* Hourly/Salary Requirements:
* Have you previously worked at R.E. Tapas Kitchen and Lounge:
* If YES, When:
* Are you a citizen of the United States?
* If NO, are you legally allowed to work?
* Type of employment:


* Have you ever pleaded "guilty," "no contest," or otherwise been convicted of a criminal offense?
* If YES, please explain briefly as well as give dates, type of conviction, county, and state:
Answering "yes" to this question does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Summarize Your Special Skills or Qualifications:
   
   Previous Employment (begin with most recent position):
Dates of Employment: From:   To:   
Positions(s) Held:
Firm / Company: 
Address of Employer:  
Phone Number:  
Supervisor:  
Title of Supervisor:  
Your Responsibilities:  
Starting Salary & Title:  
Ending Salary and Title:  
Reason for Leaving:  
May we contact this employer for reference ? Yes     No  
   
   Previous Employment
Dates of Employment: From:   To:   
Positions(s) Held:
Firm / Company: 
Address of Employer:  
Phone Number:  
Supervisor:  
Title of Supervisor:  
Your Responsibilities:  
Starting Salary & Title:  
Ending Salary and Title:  
Reason for Leaving:  
May we contact this employer for reference ? Yes     No  
   
   Previous Employment
Dates of Employment: From:   To:   
Positions(s) Held:
Firm / Company: 
Address of Employer:  
Phone Number:  
Supervisor:  
Title of Supervisor:  
Your Responsibilities:  
Starting Salary & Title:  
Ending Salary and Title:  
Reason for Leaving:  
May we contact this employer for reference ? Yes     No  
   


APPLICANT'S STATEMENT

AUTHORIZATION

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information giving in my application or interviews(s) may result in discharge.

 


I agree to the AUTHORIZATION