Careers Applicant Information Name Email Phone Address City State Zip Do you have reliable transportation? YesNo Are you at least 16 years old? YesNo Are you at least 18 years old? YesNo If you are under 18 yrs. old, do you have working papers? (blue card) YesNo Are you a U.S. Citizen? YesNo If you are NOT a U.S. Citizen, is there anything in your Visa or Immigration which prevents you from being employed in the U.S.? YesNo Alien Registration # Position Information Position(s) you are applying for Date you can start Are you currently employed? If so, where? If planning to leave current job, what notice would you need to give them? Availability Information What shift would you like to work? Full TimePart TimeDaysEvenings Is there a specific time(s) and/or day(s) you cannot work? Do you have a current state issued photo ID and SS card? Have you been paying the $1.00/week LST tax for this year? If yes, do you have a pay stub available from another employer showing this payment?YesNo Education Information What is the last year of school you have complete? Former Employement Information List last three, starting with most recent: Employer Date (from-to) Position Reason for leaving Employer Date (from-to) Position Reason for leaving Employer Date (from-to) Position Reason for leaving Experience Information Were you referred by anyone currently working at The Brass Rail? YesNo Have you ever worked at The Brass Rail? YesNo If yes, approximate date What would you consider your greatest accomplishment in your last job? What in your background do you feel qualifies you for this position? Why do you feel we should hire you over other applicants? Probation Period: I realize that I am working on a 65-day probation period, during which I will be evaluated for continued employment. I understand that all employment is at will. Applicant's Signature
