Employment Application

PERSONAL DATA


Days/hours available to work
Hrs. Of Operation 11:00am – 1:30am

 Off Any Other

 Off Any Other

 Off Any Other

 Off Any Other

 Off Any Other

 Off Any Other

 Off Any Other


Do you have Transportation to work?    YES  NO

 

Employment desired  FULL-TIME ONLY PART-TIME ONLY FULL-TIME OR PART-TIME

 

TYPE OF SCHOOL NAME OF SCHOOL

LOCATION
(Complete mailing address)

# OF YEARS COMPLETED

MAJOR & DEGREE
High School
College
Bus. or Trade
Professional School

 Yes No

Work Experience

Please list your work experience for the past year beginning with your most recent job held.
If you were self-employed, give firm name. Attach additional sheets if necessary.

Name of  Employer :

Address:

City, State, Zip Code:

Phone number:

Name of last supervisor Employment dates Pay or salary

From

To

Start

Final

Your job title

Reason for leaving (Be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

Name of  Employer :

Address:

City, State, Zip Code:

Phone number:

Name of last supervisor Employment dates Pay or salary

From

To

Start

Final

Your job title

Reason for leaving (Be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 Yes No


REFERENCES

Please list two references other than relatives or previous employers.

Name : Name:
Relation To You : Relation To You :
How Long : How Long :
Address : Address :
Telephone : Telephone:

 

Date:  

Your Mothers House 2349 Jericho Turnpike Garden City Park, NY 11040
Phone: (516) 493-9030

Sunday (Brunch).... 10am - 12am or Later
Mon - Wed.....11:30am - 12am or Later
Thurs - Sat....11:30am - 1am or Later

Countdown

UFC 159

days
-2
-3
hours
-2
-3
minutes
-1
-2
seconds
-4
-5
Mother’s Day
days
0
-9
hours
0
-6
minutes
0
0
seconds
-2
-4