Zeus Cafe -- Locations

Personal Information
First Name:
Last Name:
Permanent Address:
City:
State:
Zip:
Email Address:
Phone Number:
Referred By:

Employment Desired
Position desired:
Date you can start:
Salary desired:
Are you currently employed?	Yes No
If so, may we contact your employer?	Yes No
Have you been employed by this company before?	Yes No
Where:
When:
Salary:
Location Desired:	Downtown Ambassador Pinhook All
Hours Available:
Number of hours per week:

Education History
High School:
Did you graduate?	Yes No
College:
Did you graduate?	Yes No
Trade/Technical School:
Did you graduate?	Yes No

General Information
Any special curricular activities or subject of special study:
U.S. Military or Naval Service:
Rank:

Employment History
Name of Employer:
Salary:
Position:
From:
To:

Name of Employer:
Salary:
Position:
From:
To:

Name of Employer:
Salary:
Position:
From:
To:

Name of Employer:
Salary:
Position:
From:
To:

References
Name (First Last):
Phone Number:
Years Known:
Relationship:

Name (First Last):
Phone Number:
Years Known:
Relationship:

Name (First Last):
Phone Number:
Years Known:
Relationship:

Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge, and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement for employment contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
Full Name:
Date:
By pressing submit below, you are acknowledging that you understand everything you've read and have filled out all information to the best of your ability, and that this application will serve in leiu of a signed application for legal purposes.