Employment Application

Personal Information
Name:   
Address:
    
Telephone:      Socal Security:      
Are you 18 years or older?
If no, you may be required to provide proof of you eligibilty to work.
Position:
Desired Salary:
Are you available for:
Are you a citizen of the United States or are you legally authorized to work in the U.S.?
Have you ever been convicted of a crime?
If yes, explain:
Are there any felony charges pending against you?
If yes, explain:
Have you served in the United States Armed Forces?
Branch of Service:
Type of discharge?

References

Reference One
Name:
Telephone:
Occupation:
Years Known:

Reference Two
Name:
Telephone:
Occupation:
Years Known:

Reference Three
Name:
Telephone:
Occupation:
Years Known:

Education

High School
Name & Location of School:
Course of Study:
Degree Earned:

College / University
Name & Location of School:
Course of Study:
Degree Earned:

Vocational / Graduate School
Name & Location of School:
Course of Study:
Degree Earned:

Employment History
Name of Employer:
Telephone:      Type of Business:      
Supervisor:      May we contact this employer?
Salary (Starting / Ending):
Job title and description of duties performed:
Reason for leaving or seeking other employment:
Name of Employer:
Telephone:      Type of Business:      
Supervisor:      May we contact this employer?
Salary (Starting / Ending):
Job title and description of duties performed:
Reason for leaving or seeking other employment:
Name of Employer:
Telephone:      Type of Business:      
Supervisor:      May we contact this employer?
Salary (Starting / Ending):
Job title and description of duties performed:
Reason for leaving or seeking other employment:

I hereby ceritfy that the answers and information given by me in this application are true, correct and complete without qualification. I understand that the Mermaid Tavern has the right to hire or to immediately discharge me, at any time if it discovers that I have provided incomplete, untrue, or misleading answers or information in this application or any other documents or forms submitted at any time during my employment.