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5 views2 pages

Application

Uploaded by

Anna Hite
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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The Mad Hatter Application Form

PERSONAL INFORMATION: TODAYS DATE: ________________

Name ___________________________________________Email_______________________________________

Mailing Address ______________________________________________________________________________

City, State, Zip Code __________________________________________________________________________

Phone Number (_______) ________________________________ (Circle one) Cell/Home

Are you eligible to work in the United States? Yes _______ No_______

Are you 18 or older? Yes ___ No ___ If not, your age is ___________

Have you been convicted of or pleaded no contest to a felony within the last five years? Yes_______ No_______

We offer line cook, prep cook, baker, host, busser, dishwasher, and seasoned server positions.

POSITION(S):

Position Applied For ________________________________________

AVAILABILITY: We are open 8am-2:30pm

Monday: CLOSED
Tuesday: _______to __________NOTES:_____________________
Wednesday: ______to __________NOTES: _____________________
Thursday: _______to___________ NOTES: ______________________
Friday: _______ to ___________NOTES: ______________________
Saturday: _______ to __________NOTES: ______________________
Sunday: ________ to __________NOTES: ______________________

Are you available (must pick 3or more)?: Mothers Day YES/NO Fathers Day YES/NO Easter Day YES/NO

Park Ave Fest (1st Sat & Sun in Aug) YES/NO Xmas Eve YES/NO New Yrs Eve YES/NO New Yrs Day YES/NO

How many days would you like to work? ____________How many total hours each week? ____________

What date are you available to start work? ________________

Any engagements coming up in the near future? i.e. vacation: _________________________________

EDUCATION:

Name, City and State of School - Degree/Diploma - Graduation Date

_________________________________________________________________

_________________________________________________________________

Skills and Qualifications: Licenses, Certificates, Skills, Training, Awards, etc.


________________________________________________________________________________________________

EMPLOYMENT HISTORY:

Present Or Last Position: Employer: _____________________________________________________

City/State: ____________________________Supervisor: __________________________________

Phone: _______________________________ Position Title: _________________________

From: ______________ To: ______________ May we contact YES/NO

Responsibilities: ____________________________________________________________________

Salary: _______________ Reason for Leaving: ____________________________________________

===========

Previous Position: Employer: _____________________________________________________

City/State: ______________________________Supervisor: __________________________________

Phone: _______________________________ Position Title: _________________________

From: ______________ To: ______________ May we contact YES/NO

Responsibilities: __________________________________________________________________________

Salary: _______________ Reason for Leaving: ____________________________________________

ANY OTHER RESTAURANT RELATED EXPEIRENCE (Name of establishment, time employed, title):

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Professional References: (No friends or family)

Name/Title Address Phone

1.) _______________________________________________________________

2.) _______________________________________________________________

I certify that information contained in this application is true and complete. I understand that false information may be
grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I
authorize the verification of any or all information listed above.

Signature_______________________________________________Date__________________________________

SCAN & EMAIL BACK TO INFO@MADHATTERROCHESTER.COM or bring in during business hours.

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