Employment Application

Complete the form below to apply for Employment at Green Street Restaurant.

Name*
Address/City/Zip*
Phone*
Referred by:
Position Desired
Date You Can Start
MM slash DD slash YYYY
Former Employers (List below last three employers)
Name of Employer
Employed from (enter date) / Employed to (enter Date)
Name of Employer
Employed from (enter date) / Employed to (enter Date)
Name of Employer
Employed from (enter date) / Employed to (enter Date)
References - List names and phone numbers of three persons not related to you that you have known for at least 3 years.
Reference #1 - Name
First Last
Reference #1 - Phone Number
Reference #2- Name
First Last
Reference #2 - Phone Number
Reference #3 - Name
First Last
Reference #3 - Phone Number
Education History
Name of High School
Location of High School
City State / Province / Region
Name of College
Location of College
City State / Province / Region
Name of Trade or Other
Location of Trade or other
City State / Province / Region
Authorization
By submitting this application to Green Street Restaurant I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
Todays Date*

Former Employers (List below last three employers)