JOB APPLICATION

- Step 1 of 5

POSITION YOU ARE INTERESTED IN *

• BARTENDER
• BARBACK
• DOOR STAFF
• VJ/DJ
• SECURITY
• ENTERTAINER
• OTHER

TYPE OF EMPLOYMENT *

• FULL TIME
• PART TIME

PERSONAL INFORMATION

NAME *

First

Last

SSN *

ADDRESS *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

MOBILE PHONE *

EVENING PHONE

EMAIL *

NEXT

WORK HISTORY

MOST RECENT EMPLOYER *

CITY/STATE *

DATES EMPLOYED *

TELEPHONE *

JOB DUTIES *

REASON FOR LEAVING *

HOURLY RATE *

SUPERVISOR *

PAST EMPLOYER

CITY/STATE

DATES EMPLOYED

TELEPHONE

JOB DUTIES

REASON FOR LEAVING

HOURLY RATE

SUPERVISOR

PAST EMPLOYER

CITY/STATE

DATES EMPLOYED

TELEPHONE

JOB DUTIES

REASON FOR LEAVING

HOURLY RATE

SUPERVISOR

PREVIOUSNEXT

REFERENCES

NAME *

TELEPHONE *

RELATIONSHIP TO YOU *

NAME *

TELEPHONE *

RELATIONSHIP TO YOU *

PREVIOUSNEXT

QUESTIONS

WILL YOU BE WORKING ANOTHER JOB? IF SO, WHERE? *

ARE YOU INVOLVED IN ANY LGBTQ+ SPORTS TEAMS OR LEAGUES? IF SO, WHICH ONES? *

ARE YOU INVOLVED IN ANY COMMUNITY ORGANIZATIONS ORPERFORMING ARTS GROUPS? IF SO, WHICH ONES? *

DO YOU HAVE FRIENDSHIPS/RELATIONSHIPS WITH ANY OF OUR CURRENT EMPLOYEES? *

WHAT PRIOR BARTENDING EXPERIENCE DO YOU HAVE? *

CAN YOU MAINTAIN A SMILE ALL DAY? *

CAN YOU LAUGH AWAY THE SMALL STUFF? *

ANYTHING ELSE YOU WOULD LIKE TO TELL US ABOUT YOURSELF? *

PREVIOUSNEXT

AVAILABILITY

DAILY AVAILABILITY *

• MONDAY
• TUESDAY
• WEDNESDAY
• THURSDAY
• FRIDAY
• SATURDAY
• SUNDAY

TOTAL HOURS AVAILABLE PER WEEK *

DATE AVAILABLE TO START WORK *

Name

SUBMIT