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Polenta

October 21, 2010

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Name *

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Address *

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Email *

Phone *

Are you 18 years or older? *

Have you ever used any other legal names in the last 10 years? If so, what were your previous name(s)? *

Are you authorized to work in the US? *

Have you ever been convicted of a felony? (Answering "Yes" does not automatically disqualify you from consideration from this position) *

Position Applied for: *

Assistant Manager
Host/Hostess
Server
Bartender
Food Runner
Expeditor
Prep/Line Cook
Chef
Dishwasher
Busser
Sous Chef

Are you applying: *

Full-Time
Part-Time

Have you ever applied to this concept before? *

Yes
No

If so, when? *

Did anyone recommend you for this position? *

Are you currently employed? *

Yes
No

If so, where? *

Date you can start: *

Desired Salary *

High School Education *

Yes
No

High School Name & Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Company/Organization Experience

Grade or Degree Completed *

Graduated *

Yes
No

College or University Education *

Yes
No

College or University Name & Address *

Address Line 1

Address Line 2

City

State

Zip Code

Grade or Degree Completed *

Graduated *

Yes
No

Previous Work Experience *

Company/Organization

Job Title *

Phone # of Previous Company/Organization *

Previous Company/Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor *

Can we contact your previous supervisor? *

Yes
No

Date Started *

Date Left *

Reason for Leaving *

Job Duties *

Previous Work Experience (2)

Company/Organization

Job Title

Phone # of Previous Company/Organization

Previous Company/Organization Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor

Can we contact your previous supervisor?

Yes
No

Date Started

Date Left

Reason for Leaving

Job Duties

Previous Work Experience (3)

Company/Organization

Job Title

Phone # of Previous Company/Organization

Previous Company/Organization Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor

Can we contact your previous supervisor?

Yes
No

Date Started

Date Left

Reason for Leaving

Job Duties

Why do you want to work in hospitality? *

Tell us about a time you went out of your way to help someone either at work or in every day life. *

Tell us about the best service experience you ever had as a guest and what made it memorable. *

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Please enable JavaScript in your browser to complete this form.

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Are you 18 years or older? *

Have you ever used any other legal names in the last 10 years? If so, what were your previous name(s)? *

Are you authorized to work in the US? *

Have you ever been convicted of a felony? (Answering "Yes" does not automatically disqualify you from consideration from this position) *

Position Applied for: *

Assistant Manager
Host/Hostess
Server
Bartender
Food Runner
Expeditor
Prep/Line Cook
Chef
Dishwasher
Busser
Sous Chef

Are you applying: *

Full-Time
Part-Time

Have you ever applied to this concept before? *

Yes
No

If so, when? *

Did anyone recommend you for this position? *

Are you currently employed? *

Yes
No

If so, where? *

Date you can start: *

Desired Salary *

High School Education *

Yes
No

High School Name & Address *

Address Line 1

Address Line 2

City

State

Zip Code

Grade or Degree Completed *

Graduated *

Yes
No

College or University Education *

Yes
No

College or University Name & Address *

Address Line 1

Address Line 2

City

State

Zip Code

Grade or Degree Completed *

Graduated *

Yes
No

Previous Work Experience *

Company/Organization

Job Title *

Phone # of Previous Company/Organization *

Previous Company/Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor *

Can we contact your previous supervisor? *

Yes
No

Date Started *

Date Left *

Reason for Leaving *

Job Duties *

Previous Work Experience (2)

Company/Organization

Job Title

Phone # of Previous Company/Organization

Previous Company/Organization Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor

Can we contact your previous supervisor?

Yes
No

Date Started

Date Left

Reason for Leaving

Job Duties

Previous Work Experience (3)

Company/Organization

Job Title

contact Company/Organization position?

Phone # of Previous Company/Organization

Previous Company/Organization Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor

Can we contact your previous supervisor?

Yes
No

Date Started

Date Left

Reason for Leaving

Job Duties

Why do you want to work in hospitality? *

Tell us about a time you went out of your way to help someone either at work or in every day life. *

Tell us about the best service experience you ever had as a guest and what made it memorable. *