Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Are You a US Citizen? *

Yes

No

Are You Currently Authorized to Work in the US? *

Yes

No

Phone

(###)

###

####

Phone

(###)

###

####

Phone

(###)

###

####

What Position Are You Applying For? *

Host

Server

Bartender

Busser

Kitchen

Dishwasher

What Is Your Availability? *

Weekday — Mornings

Weekday — Nights

Weekend — Mornings

Weekend — Nights