The Old Rock Bar & Grill : Application

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Employment Application

To be considered for a position, please complete the employment application:

Contact Us

WHERE APPLYING?

WHERE ARE YOU APPLYING?

For which are you applying? (check one or all)

Kitchen

Bartender

Waitstaff

Free Text

APPLICANT INFO

First Name

Middle Initial

Last Name

Street Address

City

State

Zip

Phone

Email

Date Available

Desired Salary

Availability

PERSONAL INFO

PERSONAL INFO

Are you a citizen of the United States?

Yes

No

If not, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, from when to when?

Ever convicted of a felony?

Yes

No

If yes, explain:

Are you 18 years of age or older?

Yes

No

Do you have any food handling experience?

Yes

No

EDUCATION

EDUCATION

High School

High School Address

Date Started

Date Ended

Did you graduate?

Yes

No

College

Degree

Did you graduate?

Yes

No

PREV. EMPLOYMENT

PREVIOUS EMPLOYMENT

Employer Name

Job Title

Phone Number

Date Started

Date Ended

Responsibilities

Starting Salary

Ending Salary

Reason for leaving?

Supervisor

Use as reference?

Yes

No

NEXT PREV. EMPLOYMENT

NEXT PREVIOUS EMPLOYMENT

Employer Name

Job Title

Phone Number

Date Started

Date Ended

Responsibilities

Starting Salary

Ending Salary

Reason for leaving?

Supervisor

Use as reference?

Yes

No

Thank you for your application.

If we are interested, we will get back to you as soon as possible.

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Employment Application

Contact Us

LOCATION

The Old Rock

W11070 Hwy T & Hwy 60

Columbus, WI 53925

HOURS

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