Employment Application

Are you authorized for employment in the U.S?
Bill's Cafe Location Desired
Position Desired
Salary Expected
Available to start on
Schedule Desired
Please describe your availability, Monday-Sunday, AM and PM

Personal Information

First Name
Last Name
Middle Name
If you are under the age of 18, please state your age:
Email Address
Primary Phone
Secondary Phone
Is there any additional information involving a change of name or assumed name that will permit us to check your work record?

Present Address

Street
City
State
Zip
How long have you lived there?

Employment History

Current Employer

May we contact your current employer?
Business Name
Location
Phone
Job Title
Supervisor Name
Starting Salary
Ending Salary
From
To
Work Performed
Reason for leaving?

Previous Employer 1

Business Name
Location
Phone
Job Title
Supervisor Name
Starting Salary
Ending Salary
From
To
Work Performed
Reason for leaving?

Have you worked for Bill's Cafe before?

If so, please let us know the location(s), dates, and the position you held.
List names of friends or relatives now or formerly employed by Bill's Cafe?

Resume

If you have a resume, please attach it.
PLEASE READ THIS STATEMENT CAREFULLY
I hereby affirm that the information given by me on this application is complete and accurate. I understand that any falsification or omission either on this application, or otherwise providing false information, will be immediate grounds for dismissal, no matter what or when the falsification or omission is discovered. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, personal characteristics, employment, education, and criminal record, whichever may be applicable for employment purposes.

If I am hired, I agree that my employment and compensation may be terminated at will, with or without cause, and without notice at any time, at the option of Bill’s Café, or myself.