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.

Employment Application

Personal Information

References

Education

Employment History

About us

Hours