Careers - 1783 Eatery

Applicant Information

Name*

First Middle Initial Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Position Applied for*

Are you 18 years of age or older?*

Yes

Date Available*

Are you a US citizen?*

Yes

If no, are you authorized to work in the US?*

Yes

Have you ever worked for Stokely Hospitality or any of its other locations?*

Yes

If so, when and where?*

Have you ever been convicted of a felony?*

Yes

If yes, explain*

Preferred Starting Date*

If part time specify days/hours available

Education

Please list your High School, College, or other education received.

References*

School Name

Address

Start Date

End Date

Degree (if earned)

References

Please list 2-3 professional references

References*

Full Name

Relationship

Phone

Company

Military Service

Branch

Current Rank or Rank at Discharge

If other than honorable, explain

Employment

Are you currently employed?*

Yes

Current Employer

Company*

Phone*

Address

Supervisor*

Job Title*

Starting Salary*

Ending Salary*

Responsibilities*

Length of Employment*

Reason for Leaving*

May we contact your supervisor for a reference?*

Yes

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Length of Employment

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Length of Employment

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Length of Employment

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge.

I understand the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law.

I understand the Company may investigate my driving record, my criminal records and my credit history, and that an investigative consumer report may be prepared whereby information is obtained by an independent screening company. A copy of any credit report would be available for my review upon my request and provided by the screening company.

I understand the Company may contact my previous employers if I authorize those employers to disclose to the Company all records and other information pertinent to my employ with them. I authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Date*

Signature*

This field is for validation purposes and should be left unchanged.

Join Our Team…

Applicant Information

Education

References

Military Service

Employment

Current Employer

Previous Employment

Disclaimer & Signature