First Name
Middle Name
Last Name
Address
Zip
City
State
Are you 18 years old?
YES
NO
If “NO”, can you provide proof of your eligibility to work?
YES
NO
Can you, after employment, submit verification of your eligibility to work
in the United States? (Proof of eligibility will be required if hired)
YES
NO
Employment desired
FULL-TIME ONLY
PART-TIME ONLY
FULL TIME or PART-TIME
Possition Applied for
:: Pick one position ::
Barista
Server
Cook
Dishwasher
Busboy/runner
Supervisor
Manager
Hostess/host
Type or Paste
your Resume here
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