Last, First and Middle Name:
Social Security Number:
Date:
Primary Phone #:
Primary Phone #:Mailing Address:
Permanent Address (If different from Mailing Address):
Are you 18 years or older?
Have you ever worked or applied for a job at The Westside Cafe?
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Have you been convicted of a criminal offense? If yes, explain:
If yes, explain:What job are you applying for?
When are you available to start?
Salary Desired:How did you hear about the position?
How did you hear about the position?Total available hours per week you wish to work:
Registrar's phone #'s of the schools you attended:
List subjects of special study or research work:
List any special skills you have:
Activites (civice, athletic, etc...)
U.S. Military, National Guard or Naval Service:Rank:
Rank:Have you ever been discharged by an employer?
If yes, please explain all terminations:
Please list and explain all periods of unemployment:
How did you spend this time?
Name Relationship Years AcquaintedPhone # Current Address
Relationship Years AcquaintedPhone # Current Address"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time."In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it’s president, and then only when in writing and signed by the president, has any authority to enter inot any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.”Signature:Date:
Date:About the Job You're Interested In...
Education...Grade Completed Diploma Major?
Grade Completed Diploma Major?General...
Former Employers...(List below the last 3 employers, starting with the last one first).
Date, Month, Year Name and Address of Employer Salary Postion Reason for Leaving
References We Can Contact...(Please provide 2 (B)usiness and 2 (P)ersonal references
Applicant's Statement
Copyright 2011: The Westside Cafe: Vail, Colorado's Best Restaurant for Breakfast, Lunch & Dinner! Vail Restaurants
