Apply Now | Bruff's Bar & Grill

Applicant Information

Name:*

First Last

Phone:*

Email:*

Address:*

Street Address City State ZIP

Have you ever been convicted of a felony?

Yes
No

If yes, explain:

Are you 18 or older?

Yes
No

Are you 21 or older?

Yes
No

Are you bi-lingual?

Yes
No

Desired Position(s):

Bartender
Kitchen
Server
Host

What times can you work?

Days
Nights
Weekends

Full-time or Part-time?

Full Time
Part Time

Date Available:

Education

High School Name:

Dates Attended:

From To

Diploma:

Did you graduate?

Yes
No

College Name:

Dates Attended:

From To

Degree or Major:

Did you graduate?

Yes
No

Other Educational Institution:

Dates Attended:

From To

Degree or Major:

Did you graduate?

Yes
No

Previous Employment

Previous Employer:

Work Phone:

Job Title:

Responsibilities:

Dates Employed:

From To

May we contact them?

Yes
No

Previous Employer:

Work Phone:

Job Title:

Responsibilities:

Dates Employed:

From To

May we contact them?

Yes
No

Previous Employer:

Work Phone:

Job Title:

Responsibilities:

Dates Employed:

From To

May we contact them?

Yes
No

References

Please list three professional references.

Reference Name:

Reference's Employer:

Phone:

Relationship:

Reference Name:

Reference's Employer:

Phone:

Relationship:

Reference Name:

Reference's Employer:

Phone:

Relationship:

Acknowledgement

By checking this box, I certify that the above answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Date