Employment Application

Your Information Your Information

Name

Email Address

Phone

Street Address

City, State & Zipcode

Social Media-Instagram

Social Media-Snapchat

Applying for Position Applying for Position Bartender (Must be 21+) Server (Must be 18+) Management (Must be 21+) Busser (Must be 18+) Hostess (Must be 16+)

Applying for Location Applying for Location Oxford Jacksonville Either

Minimum shifts per week?

Maximum shifts per week?

Date you can start work

Campus Involvement (If applicable) Campus Involvement (If applicable)

Are you a member of any campus organizations? Are you a member of any campus organizations? Yes No

If yes, list them below

Additional Information Additional Information

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) Yes No

If yes, explain

Are you a United State Citizen? Are you a United State Citizen? Yes No

If no, are you authorized to work in the U.S.? If no, are you authorized to work in the U.S.? Yes No

Reference #1 Reference #1

Name

Address/City/State

Phone

Relationship

Reference #2 Reference #2

Name

Address/City/State

Phone

Relationship

Reference #3 Reference #3

Name

Phone

Address/City/State

Relationship

Employment HIstory #1 Employment HIstory #1

Previous Employer 1

Job Title #1

State Date (mo/day/yr)

End Date (mo/day/yr)

Supervisor

Phone

Street Address

State / Zip

Responsibilities

Reason for Leaving

Starting Salary?:

Ending Salary?:

May we contact your employer? May we contact your employer? Yes No

Employment HIstory #2 Employment HIstory #2

Previous Employer 2

Job Title #2

State Date (mo/day/yr)

End Date (mo/day/yr)

Supervisor

Phone

Street Address

State / Zip

Responsibilities

Reason for Leaving

Ending Salary?:

Starting Salary?:

May we contact your employer? May we contact your employer? Yes No

Employment HIstory #3 Employment HIstory #3

Previous Employer 3

State Date (mo/day/yr)

End Date (mo/day/yr)

Job Title #2

Phone

Supervisor

Street Address

State / Zip

Responsibilities

Reason for Leaving

Starting Salary?:

Ending Salary?:

May we contact your employer? May we contact your employer? Yes No

I certify that the facts set forth in the Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party. I certify that the facts set forth in the Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party. I fully understand this statement (this checkbox is required)

Availability Availability

Sunday Sunday Day 11-4 Night 4-11

Monday Monday Day 10:30-4 Night 4-11

Tuesday Tuesday Day 10:30-4 Night 4-11

Wednesday Wednesday Day 10:30-4 Night 4-11

Thursday Thursday Day 10:30-4 Night 4-12

Friday Friday Day 10:30-4 Night 4-12

Saturday Saturday Day 10:30-4 Night 4-12

Signature (Please type your full name)

Today's Date