The Parker House Employment Application Form

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Fill Out Form Below Then Click "Submit Form"

Personal Information
Name Last:			First:		Middle:
# of Dependents:			S.S.#:  - -
Date of Birth  / /

Contact Information

September - April

Address:

Address:

Phone 1:

Phone 2:

Email:

May-August

Address:

Address:

Phone 1:

Phone 2:

Email:

Emergency Contact Information

Name:

Address:

Address:

Relationship:

Phone 1:

Phone 2:

References
Name	Address	Phone	Business	Yrs. Known

Former Employers (Most recent first)
Name	Address	Phone	Position Salary	Reason Left

Last Formal Education
Name	Location	No. of Years	Year of Graduation	Major

Please Indicate which position(s) you are applying for:
Restaurant Bus Hostess Server Runner Cook Salad	Bar Bar Back Door Man Floor Man Bartender	Manager Assistant Manager (Experience Required)

Please answer the following questions:

What date can you start working?

What is the latest day you can work?

Will you be available to work Memorial Day Weekend?

Will you be available to work July 4th weekend?

Will you be available to work Labor Day weekend?

List any days on a regular basis that you will not be able to work due to another job, college courses, ect.:

List any specific dates(not included in list above)that you know you will not be available to work: