Application

Position Applying For:*
Available Start Date:*
End Date (if applicable)
APPLICANT DATA
Your Name:*
Local Address
Street Address Address Line 2 City State ZIP Code
Permanent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:*
Email:*
Are you at least 18 years of age?*
- Yes
- No
Are you a U. S. Citizen*
- Yes
- No
Are you authorized to work in the United States?
- Yes
- No
RECENT EMPLOYMENT 1
Beginning Date:
End Date:
Position:
Employer's Name
Employer's Address:
Reason for Leaving:
May we contact for reference?
- Yes
- No
RECENT EMPLOYMENT 2
Beginning Date:
End Date:
Position:
Employer's Name
Employer's Address:
Reason for Leaving:
May we contact for reference?
- Yes
- No
RECENT EMPLOYMENT 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:
Do you have a High School Diploma?
- Yes, I have a High School Diploma
- No, I do not have a High School Diploma
College/University Name:
College/University Address
Years Completed:
Major/Degree:
Trade/Bus. School Name:
Trade/Bus. School Address:
Years Completed:
Major/Degree:
REFERENCE 1
Name:*
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
REFERENCE 2
Name:*
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
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:*

Type your name here to confirm authorization.

Additional Information:

Phone

This field is for validation purposes and should be left unchanged.

Footer

VIP Membership

Free Admission on Club Nights, including New Year’s Eve
Head of the line privileges (a separate line for Club Members)
Reduced coat check cash price
20% Dining Discount
Quarterly “VIP Only” cocktail receptions or wine tastings
Recognition of members’ birthdays

The fee for a new 12 month membership is $100.00

Event Space & Catering

Whether planning a simple dinner for 6, a meeting for 20, a holiday party for your staff, a private dining event or a large wedding celebration

Club Café Has Everything You Need.

Each of our spaces can be used separately or for that truly unique event the entire space at club café may be available for your event. Flexibility in the set-up and design of our space is limited only by your imagination.

Banquets & Catering Menu Moonshine Rental Info Moonshine Floorplan

Weekly Specials Show Tickets Reservations

Show your show ticket to one of our shows and get 20% off your food order.