Employment – A WordPress Site

1. Applicant Information

Full Name * Date * Street Address City State ZIP Code Phone * Email *

Are you 18 years of age or older? * Yes No

If under 18, can you provide required proof of age? Yes No N/A

Have you ever worked for River House Scratch Kitchen + Bar? Yes No

If yes, when?

2. Positions & Employment Preferences

Employment type * Full-Time Part-Time Seasonal

Hours available per week Date you can start

3. Availability

Please list the days and hours you are available to work.

Day	AM	PM	Evening	Late Night
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are you available to work: Weekends Holidays Split Shifts Late Nights

Are you willing to be cross-trained in multiple positions? Yes No

Do you have reliable transportation? Yes No

Do you have a valid driver's license? Yes No

4. Previous Employment

Please list your three (3) most recent employers. Start with your most recent.

Employer 1

Employer / Location Position Dates From – To Reason for Leaving Supervisor Name & Phone Number

Employer 2

Employer / Location Position Dates From – To Reason for Leaving Supervisor Name & Phone Number

Employer 3

Employer / Location Position Dates From – To Reason for Leaving Supervisor Name & Phone Number

5. Education & Training

Highest Level Completed

High School Some College Associate Degree Bachelor's Degree Other

School Name Location Years Attended

Certifications Check all that apply

ServSafe Food Handler ServSafe Manager RAMP Certification CPR / First Aid TIPS Alcohol Certification Other Certifications

6. Professional References

Please list two (2) professional references (not related to you).

Reference 1

Name Relationship Company Phone Number

Reference 2

Name Relationship Company Phone Number

7. Why River House?

Why do you want to work at River House Scratch Kitchen + Bar?

8. Résumé

Attach your résumé Optional — PDF, DOC, or DOCX, maximum 8 MB. No file selected

9. Applicant Certification & Signature

I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from consideration for employment or may be grounds for termination if employed. I understand that this application is not a contract of employment.

I have read and agree to the applicant certification above. *

Signature — type your full name * Date *