Club Café Employment

Please use this form to submit your application for employment to Club Café. We only accept online applications for employment.

Position Applying For:(required)
Available Start Date:(required)
End Date (if applicable):
APPLICANT DATA
Your Name:(required)
Local Address:
City:
State:
Zip Code:
Permanent Address:
City:
State:
Zip Code:
Phone:(required)
Email:(valid email required)
Date of Birth:
Are you a U.S. Citizen?(required)
Do you have working papers?
Yes No
RECENT EMPLOYMENT
----------------- Employer 1 ----------------
Beginning Date:
End Date:
Position:
Employer's Name:
Employer's Address:
Reason for Leaving:
May we contact for reference
Yes No
----------------- Employer 2 ----------------
Beginning Date:
End Date:
Position:
Employer's Name:
Employers Address:
Reason for Leaving:
May we contact for reference
Yes No
----------------- Employer 3 ----------------
Beginning Date:
End Date:
Position:
Employer's Name:
Employer's Address:
Reason for Leaving:
May we contact for reference
Yes No
EDUCATION
High School Name:
High School Address:
Years Completed:
H.S. Diploma?
Yes No
College/Univ. Name:
College/Univ. Address:
Years Completed:
Major/Degree:
Trade/Bus. School Name:
Trade/Bus. School Address:
Years Completed:
Major/Degree
REFERENCES
Please furnish the name, address and phone numbers of two people not related to you, and by whom you have not been employed.
----------------- Reference 1 ----------------
Name:(required)
Address:
City:
State:
Zip Code:
Phone:(required)
----------------- Reference 2 ----------------
Name:(required)
Address:
City:
State:
Zip Code:
Phone:(required)
AUTHORIZATION
I certify that the facts contained in the application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application, or in any interviews, shall be ground for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. This waiver does not permit the release or use of disability-related or medical information ina manner prohibited by the Americans with Disabilities Act (ADA) and other relevant Federal and State laws.
Name:(required)
Additional Information:

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