Employment

Name

FirstLast

Address

Street AddressCityState / ProvinceZIP / Postal Code

Phone

Are you at least 18 years old?

Yes

Employment Expectations

What kind of job are looking for?

Have you ever worked at Cactus or Tavern Hall before?

Yes

Shift Desired

Any

Lunch

Dinner

Do you want to work full time?

Yes

If you don't want to work full time, how many hours/days per week would you like to work? Be specific.

How long would you like to work for Cactus Restaurants?

Are there any days of the week you cannot work?

Employment History

List your previous job experience with the most recent first.

Employer Name #1

Employer City & Phone Number

From:

To:

Position

Reason for Leaving

Wage/Salary

Employer Name #2

Employer City & Phone Number

From:

To:

Position

Reason for Leaving

Wage/Salary

Employer Name #3

Employer City & Phone Number

To:

From:

Position

Reason for Living

Wage/Salary

Education & Training

Tell us about your education and experience.

Name & Location of High School

Did you graduate high school?

Yes

Did you attend college?

Yes

Some

Did you graduate college?

Yes

Other Relevant Experience & Training

Personal Data

Do you smoke?

Yes

Positional Functions

Are you able to perform the functions of the position for which you are applying with or without reasonable accommodation? (Some positions require the ability to lift in excess of 50 pounds.)

Yes

References

List three professional references below. Please do not list friends or relatives.

Name

Address & Phone

Relationship/Years Known

Name

Address & Phone

Relationship/Years Known

Name

Address & Phone

Relationship/Years Known

Optional Information

Add any additional comments here or feel free to upload a resume.

Additional Comments

Optional Resume Upload

Agreement

1. I CERTIFY that the facts contained in this application are true and complete, and understand that if employed, false, misleading or incomplete statements on this application shall be grounds for immediate dismissal. 2. I AUTHORIZE the company to investigate and verify any information contained in my application or pre-hire interviews, including my previous employment, education and background. I further release all parties from all liability for any damage that may result from furnishing or receiving such information. 3. I UNDERSTAND and agree that my employment and compensation may be terminated at any time without prior notice, with or without reason, at the option of the company or myself, and understand that no representative of the company, other than the President, has authority to enter into any agreement contrary to the foregoing. 4. I UNDERSTAND that all company property must be returned and any indebtedness to the company must be paid on or before my last day of work. I authorize the company to deduct from my final paycheck an amount necessary to satisfy any unpaid obligation.

I Agree

By clicking SUBMIT APPLICATION you agree to the terms outlined above.

Employment

Work With Us!

Application Form

Employment

Employment Expectations

Employment History

Education & Training

Personal Data

References

Optional Information

Agreement