Full Name
Street Address
City
,
State
Zip Code
Day Time Phone
Evening Phone
Email Address
What position(s) are you applying for?
Cook
Prep-cook
Dishwasher
Wait Staff
Host/Hostess
Multiple
Selections
Allowed
Expected
hourly wage:
Expected
Start Date:
Are
you
currently
employed?
Yes
No
If so, may
we inquire
of your
current
employer?
Yes
No
Hourly
Wage/Salary:
Reason for
leaving:
Have you
ever applied
at Stonewall's
before?
Yes
No
If so, where
did you
apply:
If so, when
did you
apply:
Education
Grammar School
High School
College
Trade School
Business School
Correspondence School
years
attended
Did
you
graduate?
Yes
No
Subjects
of Special
study or
interest
How did
you hear
about
Stonewalls?
Past Work Experience
Most Recent Job, Company Name, Address, Phone Number & Supervisors Name
2nd Job, Company Name, Address, Phone Number & Supervisors Name
3rd Job, Company Name, Address, Phone Number & Supervisors Name
1st Personal Reference
Name
Phone
2nd Personal Reference
Name
Phone
3rd Personal Reference
Name
Phone
Additional Comments