Job Application

Please fill in all fields marked with a *
CONTACT INFORMATION
*Name (Last name first)
Street Address   *City    *State     *Zip
*phone    Email   Referred by
   
EMPLOYMENT DESIRED
*Position Door Host Waitress DJ Floor Host Bartender
Shooters Valet Restroom Attendant Manager
 
Date you can start   Salary desired
*Are you employed?Yes No   *If so, may we contact your present employer?Yes No
*Ever Applied to this company before?YesNo
If so, Where?  When?
   
EDUCATIONAL HISTORY (Name of school, years attended, did you graduate, subjects studied)
High School
College
Trade Business or Correspondence
   
GENERAL INFORMATION
Subjects of Special Study/Search Work or Special Training/Skills
US Military Service   Rank
 
FORMER EMPLOYERS (List below last four employers, starting with last one first)
From    To  Name & Address    Salary            
Position      Reason For Leaving
From   To   Name & Address   Salary
Position   Reason For Leaving
From   To   Name & Address   Salary
Position   Reason For Leaving
From   To   Name & Address   Salary
Position   Reason For Leaving
   
DAYS OF AVAILABILITY (Earliest hours available to close. Separate hours by comma)
Check box for any day and hour available
Monday   Tuesday  
Wednesday   Thursday
Friday   Saturday   Sunday
   
*By checking this box you understand and agree to the following: That you are at least 18 years of age and can provide State issued Drivers license, State issued ID, Passport, or Military ID.  Also, you agree that you have filled out this application to the best of your knowledge and is accurate.  Any falsified information will disqualify you for employment.  Pure Gold/Crazy Horse is an equal opportunity employer. 
*Please sign here
*Today's Date

              

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