Please provide the following contact information:
Name Street address Address (cont.) City State/Province Zip/Postal code Campus Box # Campus Phone E-mail
Do you have restaurant experience?
Yes No Work experience: Please detail your past working experience and include: place of employment phone number position held dates of employment name of supervisor
Yes No Work experience:
Please detail your past working experience and include:
Position 1
Position 2
Position 3
What is your class year?
2009 2010 2011 2012 References Please list two people who have known you for at least two years. Include name, address, phone number, number of years aquatinted, and nature of relationship.
2009 2010 2011 2012
References
Please list two people who have known you for at least two years. Include name, address, phone number, number of years aquatinted, and nature of relationship.
Reference 1
Reference 2
How many hours per week do you want work?
less than 5 5 to 10 11 to 15 16 or more
When can you start working?
-- mm/dd/yy
Can you work weekends?
yes no
Do you certify that the above information is true and correct to the best your your knowledge?