Restaurant Employment Application



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Job 1: Employer name, address, and type of business: Starting wage: Ending wage: reason for leaving: Dates of employment: Position: Duties performed: Supervisor name supervisor s position or title Supervisor phone number may we contact him or her Yes No Job 2: Employer name, address, and type of business: Starting wage: Ending wage: reason for leaving: Dates of employment: Position: Duties performed: Supervisor name supervisor s position or title Supervisor phone number may we contact him or her Yes No Job 3: Employer name, address, and type of business: Starting wage: Ending wage: reason for leaving: Dates of employment: Position: Duties performed: Supervisor name supervisor s position or title Supervisor phone number may we contact him or her Yes No Job 4: Employer name, address, and type of business: Starting wage: Ending wage: reason for leaving: Dates of employment: Position: Duties performed: Supervisor name supervisor s position or title Supervisor phone number may we contact him or her Yes No REFERENCES Please provide the names and contact information of four professional references you have known at least one year..




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