Employment

Date-picker

1. Date (MM/DD/YYYY)* Is Required? Change date format Edit Settings

Please select a date.

Date Format
Presets:
Add Custom Format (To add text, enclose it in single quotes. For example: d MM 'of the year' yy)

Save

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2. Contact Information

Text Field

Full Name* Is Required? Edit Settings

Please enter a value.

Email* Is Required? Edit Settings

Please enter a valid email address.

Phone Number

Phone Number* Is Required? Edit Settings

Please enter a valid phone number.

Text Field

Address* Is Required? Edit Settings

Please enter a value.

Text Field

Address 2* Is Required? Edit Settings

Please enter a value.

Text Field

State* Is Required? Edit Settings

Please enter a value.

Text Field

City* Is Required? Edit Settings

Please enter a value.

Numbers Only

Zip Code* Is Required? Edit Settings

Please enter a value containing only numbers/digits.

123

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3. Age

Text Paragraph

Are you older than 18? Certain positions must meet age requirements for safe equipment use and / or legal service of alcohol.

Radio Button Group

Radio Button Group* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:

Please select one.

YesNo

Yes No

List radio buttons in the textarea below one benief the other. For example:
Radio button 1
Radio button 2
Radio button 3

Save Radio Buttons

Numbers Only

If not, what is your birthdate?* Is Required? Edit Settings

Please enter a value containing only numbers/digits.

123

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4. Position

Check Box Group

What position are you interested in applying for?* Is Required? Add/edit/remove check box's Edit SettingsButton layout:

Please check at least one.

ServerBartenderBarbackHostBusserKitchen StaffManager

Server Bartender Barback Host Busser Kitchen Staff Manager

List check box's in the textarea below one benief the other. For example:
Check box 1
Check box 2
Check box 3

Save Check Box's

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5. Readiness

Numbers Only

Total hours you are available per week:* Is Required? Edit Settings

Please enter a value containing only numbers/digits.

123

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6. Location

Check Box Group

At which location(s) would you like to work: Is Required? Add/edit/remove check box's Edit SettingsButton layout:

Please check at least one.

Galleria Ave

List check box's in the textarea below one benief the other. For example:
Check box 1
Check box 2
Check box 3

Save Check Box's

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7. Media

Text Area

How did you hear about this employment opportunity? Is Required? Edit Settings

Please enter a value.

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8. Transportation

Radio Button Group

Do you have reliable transportation?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:

Please select one.

YesNo

Yes No

List radio buttons in the textarea below one benief the other. For example:
Radio button 1
Radio button 2
Radio button 3

Save Radio Buttons

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9. Time

Text Area

What are your available hours?* Is Required? Edit Settings

Please enter a value.

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10. Education

Text Field

School Name* Is Required? Edit Settings

Please enter a value.

Text Field

Company Is Required? Edit Settings

Please enter a value.

Text Field

Last Grade Completed* Is Required? Edit Settings

Please enter a value.

Text Field

GPA* Is Required? Edit Settings

Please enter a value.

Text Field

Did you graduate?* Is Required? Edit Settings

Please enter a value.

Text Field

Address* Is Required? Edit Settings

Please enter a value.

Text Field

City / Town* Is Required? Edit Settings

Please enter a value.

Text Field

State* Is Required? Edit Settings

Please enter a value.

Numbers Only

Zip* Is Required? Edit Settings

Please enter a value containing only numbers/digits.

123

Phone Number

Phone Number* Is Required? Edit Settings

Please enter a valid phone number.

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11. Employment History

Radio Button Group

May we contact your present employer?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:

Please select one.

YesNo

Yes No

List radio buttons in the textarea below one benief the other. For example:
Radio button 1
Radio button 2
Radio button 3

Save Radio Buttons

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12. Previous Employment

Text Field

Company * Is Required? Edit Settings

Please enter a value.

Text Field

Job Title* Is Required? Edit Settings

Please enter a value.

Text Field

Supervisor * Is Required? Edit Settings

Please enter a value.

Text Field

Dates Worked* Is Required? Edit Settings

Please enter a value.

Text Field

Rate of Pay* Is Required? Edit Settings

Please enter a value.

Text Field

Reason for Leaving* Is Required? Edit Settings

Please enter a value.

Phone Number

Phone Number* Is Required? Edit Settings

Please enter a valid phone number.

Text Field

Address* Is Required? Edit Settings

Please enter a value.

Text Field

City / Town* Is Required? Edit Settings

Please enter a value.

Text Field

State* Is Required? Edit Settings

Please enter a value.

Numbers Only

Zip* Is Required? Edit Settings

Please enter a value containing only numbers/digits.

123

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13. Employment History General

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Text Area

Please list other relevant experience or training or activities. (Exclude organizations that indicate race, religion, age, or national origin of members.)* Is Required? Edit Settings

Please enter a value.

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14. Migratory Situation

Radio Button Group

U.S. law requires that, if hired, you must furnish appropriate documentation establishing identity and employment eligibility, generally within 72 hours of starting work. For example, acceptable documents include: a U.S. passport, or INS Forms 688 or 688A; a Social Security Card or birth certificate issued by government authority and a driver’s license, school I.D. with photo or other government issued documentation establishing identity. Certain other documents are equally acceptable. Are you legally able to be employed in the U.S.?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:

Please select one.

YesNo

Yes No

List radio buttons in the textarea below one benief the other. For example:
Radio button 1
Radio button 2
Radio button 3

Save Radio Buttons

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15. Legal Situation

Radio Button Group

DURING THE PAST 5 YEARS, HAVE YOU EVER BEEN CONVICTED OF, PLED GUILTY TO OR PLED NO CONTEST TO A CRIME, EXCLUDING MISDEMEANORS AND TRAFFIC VIOLATIONS?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:

Please select one.

YesNo

Yes No

List radio buttons in the textarea below one benief the other. For example:
Radio button 1
Radio button 2
Radio button 3

Save Radio Buttons

Text Area

IF YES, PLEASE DESCRIBE IN FULL* Is Required? Edit Settings

Please enter a value.

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Read Terms & Coditions on top before submit*

Submit