APPLY

Name*

First Middle Last

Preferred Pronouns

Current Address*

Street Address Address Line 2 City State ZIP Code

Years at current address*

Phone*

Social Security Number*

Email Address

Enter Email Confirm Email

Are you 18 years or older?*

Yes
No

If not, state date of birth:

Have you had any name changes this employer should know about in order to verify job or education history?*

Yes
No

Previous Name

Do you have transportation to and from work?*

Yes
No

Are you authorized to work in the U.S.?*

Yes
No

Position applied for*

Salary desired

Date you can start*

Are you applying for

Full Time
Part Time
Temporary
Days Only
Nights Only
Days/Nights

Please write in your availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Education / U.S. Military Service

Where did you attend high school & college? (Click the + button to add a new row)*

School Name & Address	Major	Years Completed	GPA	Degree/Diploma

War Veteran?

Yes
No

Branch

From Date

To Date

Highest Grade

Previous Restaurant Experience

List below, your last 4 employers, starting with the most recent one first.

Company Name (Most Recent)

Address

Street Address Address Line 2 City State ZIP Code

Company Business

Your Position

Immediate Supervisor

Title

Date Started

Yearly Salary

Date Left

Yearly Salary

Reason for leaving

Company Name (2nd Most Recent)

Address

Street Address Address Line 2 City State ZIP Code

Company Business

Your Position

Immediate Supervisor

Title

Date Started

Yearly Salary

Date Left

Yearly Salary

Reason for leaving

Company Name (3rd Most Recent)

Address

Street Address Address Line 2 City State ZIP Code

Company Business

Your Position

Immediate Supervisor

Title

Date Started

Yearly Salary

Date Left

Yearly Salary

Reason for leaving

Company Name (4th Most Recent)

Address

Street Address Address Line 2 City State ZIP Code

Company Business

Your Position

Immediate Supervisor

Title

Date Started

Yearly Salary

Date Left

Yearly Salary

Reason for leaving

Job Duties

Are there any job duties that you would be unable to perform?

Is there anything we could do to accommodate you so you could perform all the require job duties?

Have you ever applied to this company before?

Yes
No

Where?

When?

Are you now employed?

Yes
No

Employer Phone Number

In Case of Emergency

Who should we contact if there is an emergency?

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Relationship (If any)

Electronic Agreement

1. I authorize investigation of all statements contained in this application.

2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the foregoing inquiries.

3. I have read these statements and answers to these inquiries.

Name*

Date*

Please write in your availability

Education / U.S. Military Service

Previous Restaurant Experience

Job Duties

In Case of Emergency

Electronic Agreement

THE ROOST

THE ROOST HOURS

Monday 11:00am - 9:00pm

Tuesday 11:00am - 9:00pm

Wednesday 11:00am - 9:00pm

Thursday 11:00am - 9:00pm

Friday 11:00am - 10:00pm

Saturday 11:00am - 10:00pm

Sunday 11:00am - 9:00pm

HAPPY HOUR Sunday - Thursday 3p-6p

OUR OTHER RESTAURANTS