First Name*

Last Name*

Nickname

Address*

City*

State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Email*

Phone*

I Certify that I Am (proof will be required upon hire) 18 years of age or older21 years of age or older

Position Desired

Full or Part Time? Full TimePart Time

Available for Overtime? YesNo

Hours of Availabilty per Week 5-10 hours15-20 hours25-30 hours35-40+ hours

Date you can start?

Is there any reason you could not perform all physical aspects of this job including ability to lift up to 50 pounds? Please provide details.

Describe your use of drugs and alcohol

Felony Conviction? YesNo

If you have a felony conviction, please give details.

Highest Level of Education Attended High SchoolCollegeTrade SchoolOther

School Name

School Address

Number of Years Attended 1 year2 years3 years4 years5 years6 years7 years

List Degree, Skills or Computer Proficiency.

Past Work Experience

Most Recent

Company Name

Company Address

Supervisor Name

Company Phone

Position/Duties

Reason for Leaving

Additional Work Experience #1

Company Name

Company Address

Supervisor Name

Company Phone

Position/Duties

Reason for Leaving

Additional Work Experience #2

Company Name

Company Address

Supervisor Name

Company Phone

Position/Duties

Reason for Leaving

Professional References

Please list 3 persons, not related, whom you have known for over one year

#1 Name

#1 Address & Phone

#1 Company

#1 Years Known

#2 Name

#2 Address & Phone

#2 Company

#2 Years Known

#3 Name

#3 Address & Phone

#3 Company

#3 Years Known

By submitting this form, I certify that the information provided is complete and accurate to the best of my knowledge. I authorize Sunset Beach Bar and Grille to thoroughly investigate my background, references, employment record, and other matters relating to my suitability for employment, and I understand that misrepresentation or omission of facts may result in rejection of applicant, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Sunset Beach Bar and Grille I understand that filling out this form does not indicate there is a position open or obligate Sunset Beach and Grille to hire me. I understand agree that my employment is at will, which means that it is for no specified period and may be terminated by me or by Sunset Beach Bar and Grille at any time without prior notice for any reason. I understand that any offer of employment could be contingent upon passing a prescribed physical examination, proving my identity and documenting my right to work.