Employment Application

First & Last Name

Email Address

Street Address

City

State

Zip Code

Best Contact Phone Number

Are You a US Citizen? Are You a US Citizen?YesNo

How Old Are You? How Old Are You? Under 18 18 - 20 Over 21

Have You Ever Worked For Us Before? Have You Ever Worked For Us Before? Yes No

When?

Interested In (check all that apply) Interested In (check all that apply) Part Time (0 - 29 Hours/Week) Full Time (30+ Hours/Week)

Position Applying For (check all that apply) Position Applying For (check all that apply) Front of House Team Member Back of House Team Member Dishwasher/Prep Key Holder Management

Do You Have Experience In Any Of The Following Areas? (check all that apply) Do You Have Experience In Any Of The Following Areas? (check all that apply) Front of House - Bartender Front of House - Cocktail Server Front of House - Server Front of House - Busser Kitchen - Cooking Kitchen - Prep Kitchen - Dishwasher Key Holder Inventory Counting Inventory Ordering No Restaurant Experience

Do You Have AM Shift Availability? (9am - 4 pm) Do You Have AM Shift Availability? (9am - 4 pm)YesNo

Which Days? Which Days? Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Do You Have PM Shift Availability? (4 pm - Close) Do You Have PM Shift Availability? (4 pm - Close)YesNo

Which Days? Which Days? Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Are you looking for seasonal or long term employment? Are you looking for seasonal or long term employment? Seasonal (0-6 months) 6 months - 1 year Long Term (longer than 1 year)

Date Available to Start

Referred by?

Do You Anticipate Any Changes To Your Availability In The Next 6 Months? Do You Anticipate Any Changes To Your Availability In The Next 6 Months?YesNo

Please Explain

Do You Have Any Scheduled Time Off We Should Know About? Do You Have Any Scheduled Time Off We Should Know About?YesNo

Please Explain

Previous Employer 1

Previous Employer Phone Number

Position Held

Supervisor Name

Start Date

End Date

Reason For Leaving

Is It Ok For Us To Contact This Supervisor? Is It Ok For Us To Contact This Supervisor? Yes No

Add Another Employer? Add Another Employer?YesNo

Previous Employer 2

Previous Employer Phone Number

Position Held

Supervisor Name

Start Date

End Date

Reason For Leaving

Is It Ok For Us To Contact This Supervisor? Is It Ok For Us To Contact This Supervisor? Yes No

Add Another Employer? Add Another Employer?YesNo

Previous Employer 3

Previous Employer Phone Number

Position Held

Supervisor Name

Start Date

Reason For Leaving

End Date

Is It Ok For Us To Contact This Supervisor? Is It Ok For Us To Contact This Supervisor? Yes No

Reference #1

Relationship

Phone Number

Years Known Years Known0 - 2 Years2 - 5 Years5 - 7 Years8 - 10 Years10 + Years

Reference #2

Relationship

Phone Number

Years Known Years Known0 - 2 Years2 - 5 Years5 - 7 Years8 - 10 Years10 + Years

Tell Us Why You Think You Would Be A Good Fit For Our Team

Employees are strictly prohibited from drinking on restaurant property on any day that he or she is scheduled to work. Can you comply? Employees are strictly prohibited from drinking on restaurant property on any day that he or she is scheduled to work. Can you comply? Yes No

Employees are prohibited from arriving to work intoxicated or under the influence of drugs or controlled substances, including marijuana. Can you comply? Employees are prohibited from arriving to work intoxicated or under the influence of drugs or controlled substances, including marijuana. Can you comply? Yes No

Smoking is strictly prohibited anywhere on property at any time. Can you comply? Smoking is strictly prohibited anywhere on property at any time. Can you comply? Yes No

A violation of any state or federal liquor law is strictly prohibited. Can you comply? A violation of any state or federal liquor law is strictly prohibited. Can you comply? Yes No

The use of personal cell phones on shift is strictly prohibited. Can you comply? The use of personal cell phones on shift is strictly prohibited. Can you comply? Yes No

Are you willing to work around dogs and uphold health standards? Are you willing to work around dogs and uphold health standards? Yes No

I certify that the information on this form is true. I understand all information is subject to verification and that making false statements can be cause for dismissal. I authorize you to obtain information concerning me from former employers/references and I release all concerned from any liability in that regard. I certify that the information on this form is true. I understand all information is subject to verification and that making false statements can be cause for dismissal. I authorize you to obtain information concerning me from former employers/references and I release all concerned from any liability in that regard. I Agree

I acknowledge that he Equal Opportunity Policy of Pub Dog Colorado is to consider all qualified applicants without regard to race, color, gender, religion, creed, age, national origin, political affiliation, marital status, sexual orientation or any non-job related characterization. I acknowledge that he Equal Opportunity Policy of Pub Dog Colorado is to consider all qualified applicants without regard to race, color, gender, religion, creed, age, national origin, political affiliation, marital status, sexual orientation or any non-job related characterization. I Agree