Employment Application
Application Date
*
Name
*
First
Last
Email Address
*
Current Address
*
Current City/State/Zip
*
Previous Address (If less than 2 years at current address)
Previous City/State/Zip (If less than 2 years at current address)
Telephone
*
Position Applied For
*
Expected Rate Of Pay
*
Hours And Days Available For Work
Are You At Least 18 Years Old?
*
— Select —
Yes
No
Do You Have A Valid Driver's License?
*
— Select —
Yes
No
Your Education
High School Attended
*
Year Graduated
*
College Attended
Year Graduated
Your Work Experience
List Last 2 Employers - If None Enter N/A In Box.
Name Of Employer
*
Address Of Employer
*
Dates Employed
*
Reason For Leaving
*
Name Of Employer
Address Of Employer
Dates Employed
Reason For Leaving
Personal References
List 2 References, Other Than Relatives.
Name
*
Address
*
Telephone Number
*
Name
*
Address
*
Telephone Number
*
Additional Comments, If Any
Submitting Your Application
Please Read The Statement Below. By submitting this form you certify that you are the person stated in the application above. I hereby certify that all of the information contained in this Application for Employment is true and accurate. I authorize Luau Hale Restaurant to contact former employers and personal references as part of the application process.
By Checking Box Below, You Agree To Above Terms