Application For Employment

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190 Newbury Street
617-236-0990
Stephanie's On Newbury
Boston, MA 02116
Application For Employment
I.
Personal Information:
Date: _______________________
Name:____________________________________________________ Soc. Sec. #_______________________
Address:________________________________________________________Telephone____________________
street
city
state
zip
II. Employment Desired:_________ _________________
Date you can start:____/___/______
Current Availability: Monday, AM____PM____Tuesday, AM____PM____Wednesday, AM____PM____Thursday, AM_____PM____
Friday, AM___PM___Saturday,AM___PM___Sunday, AM____PM____ (please place an "X" where you ARE avaialable to work.)
Position_____________________
Salary Desired:____________
Are you employed now? _______ EMAIL ADDRESS__________________
_________________________________________
All Server/Bartender candidates must posess at least 3 years experience in their respective positions in high volume restaurants.
□ YES
□ NO
Do you have at least 3 years experience?
List your last 3 employers starting with present or most recent first
III. Former Employers:
From:_____________________ To:________________________
Phone ___________________________
Company Name & Address:__________________________________________________________
Position:___________________________ Supervisor:______________________________________
Reason for leaving__________________________________________________________________
From:_____________________ To:________________________
Phone ___________________________
Company Name & Address:__________________________________________________________
Position:___________________________ Supervisor:______________________________________
Reason for leaving__________________________________________________________________
From:_____________________ To:________________________
Phone ___________________________
Company Name & Address:__________________________________________________________
Position:___________________________ Supervisor:______________________________________
Reason for leaving__________________________________________________________________
** Please attach resume or any additional information
List 3 Professional references of former employers
IV. professional References
Name
Title
phone
1
2
3
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission
of facts is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may,
at the discretion of management and may be terminated at any time without previous notice
Signed:______________________________________
Date:______________________
In Case of Emergency, NOTIFY:____________________________ Phone #___________________

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