• Employment Application
  • Personal Information
  • First Name:
  • Last Name:
  • Address:
  • City:
  • State:
  • Zip Code:
  • Phone:
  • Email Address:
  • Desired Position:
  • Are you available for:
  • Are you 18 or older?
  • 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 below:
  • Are there any felony charges pending against you?
  • If yes, explain below:
  • 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:
  • Course of Study:
  • Degree Earned
  • College / University
  • Name & Location:
  • Course of Study:
  • Degree Earned:
  • Vocational / Graduate School
  • Name & Location:
  • Course of Study:
  • Degree Earned:
  • Employment History
  • Employer One
  • Name of Employer: 
  • Telephone: 
  • Supervisor: 
  • Salary: 
  • May we contact this employer? 
  • Description of duties performed: 
  • Reason for leaving or seeking other employment: 
  • Employer Two
  • Name of Employer:
  • Telephone:
  • Supervisor:
  • Salary:
  • May we contact this employer?
  • Description of duties performed:
  • Reason for leaving or seeking other employment:
  • Employer Three
  • Name of Employer:
  • Telephone:
  • Supervisor:
  • Salary:
  • May we contact this employer?
  • 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.