Step 1 of 8 12% WE ARE AN EQUAL OPPORTUNITY EMPLOYER(Please answer all questions)NOTICE: Applicant should read the following information carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statues. Information requested on this application will not be used for any purpose prohibited by law.Position you are applying for* Bartender Bookkeeper Busser Chef (Executive) Chef (Sous) Chef (Pastry) Cook (Line) Cook (Prep) Dishwasher Host or Hostess Manager Supervisor Wait Staff Corporate – Event Sales & Management Corporate – Marketing Restaurant(s) Applied For* Handsome Hog PUBLIC kitchen + bar / Green Lantern Fitzgerald's Eagle Street Grille Ox Cart Ale House & Rooftop Gray Duck Tavern MRG – Corporate Office Restaurant(s) Applied For* Handsome Hog PUBLIC kitchen + bar / Green Lantern Fitzgerald's Eagle Street Grille Ox Cart Ale House & Rooftop Gray Duck Tavern MRG – Corporate Office Position Applied For (if not listed above)Name* First Last Middle NamePresent Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* How long have you lived at the above address?* Are you 18 years old or older?*YesNoIf not, state date of birth* If under age 18, how many hours per week are you employed elsewhere?*Have you had any name changes this employer should know about in order to verify job or education history?*YesNoPrevious Name*Do you have transportation to and from work?*YesNoAre you authorized to work in the U.S.?*YesNoDate you can start* Salary desired*Are you applying for* Full Time Part Time Temporary Days Only Nights Only Days/Nights Who recommended you for this position?* EducationHigh School NameHigh School Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code High School Grade or Degree CompletedHigh School GraduateYesNoCollege or University NameCollege or University Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code College or University Grade or Degree CompletedCollege or University GraduateYesNoOther School NameOther School Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Other School Grade or Degree CompletedOther School GraduateYesNo Military Service Schools AttendedMilitary Service School Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Military Service School Grade or Degree CompletedMilitary Service School GraduateYesNoMilitary Service RecordWar VeteranYesNoBranchFrom: (Date) To: (Date) Highest Grade PLEASE CHECK THE KIND OF WORK YOU HAVE DONE: Bartender Bookkeeper Bus Person Carver Chef Cook Cook Helper Counter Dietitian Dishwasher Food Prep Technician Fountain Host or Hostess Kitchen Helper Manager Pantry Pastry Cook Porter Pot Washer Salad Sandwhiches Stenographer Typist Vegetable Cook Wait Staff Wait Staff-Arm Service Wait Staff-Tray Service Previous Restaurant Experience(LIST BELOW YOUR LAST FOUR EMPLOYERS, STARTING WITH MOST RECENT ONE FIRST)1) Company NameAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneCompany BusinessYour PositionImmediate SupervisorTitleDate Started Date Left Yearly Salary StartYearly Salary LeftReason for LeavingJob Duties2) Company NameAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneCompany BusinessYour PositionImmediate SupervisorTitleDate Started Date Left Yearly Salary StartYearly Salary LeftReason for LeavingJob Duties 3) Company NameAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneCompany BusinessYour PositionImmediate SupervisorTitleDate Started Date Started Yearly Salary LeftYearly Salary LeftReason for LeavingJob Duties4) Company NameAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneCompany BusinessYour PositionImmediate SupervisorTitleDate Started Date Left Yearly Salary StartYearly Salary LeftReason for LeavingJob Duties Are there any job duties that you would be unable to perform?Is there anything we could do to accomodate you so you could perform all the required job duties?Have you ever applied to this company before?*YesNoIf yes, where?*When?*Are you now employed?*YesNoTelephone Number*IN CASE OF EMERGENCY NOTIFYName* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Relationship*Terms and Conditions* 1. I authorize investigation of all statements contained in this application. 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inqueries.3. I have read these statements and answers to these inquiries. Upload ResumeDate I agree that this acts as my signature.* Yes This iframe contains the logic required to handle Ajax powered Gravity Forms.