Acoustic Cafe Employment Job Application

Contact Information

Name*

First Middle Last

Email*

Present Address*

Street Address City State ZIP Code

Phone Number*

Permanent Address*

Street Address City State ZIP Code

Phone Number*

How did you learn of this job?

Newspaper
Sign
Friend
Other

Please explain other

Names of friends or relatives employed at Acoustic Café

If applying for temporary work, when would you terminate

Personal Information

Are You 18 years Of Age?*

Yes
No

If under 18 years, give date of birth*

Do you have another job which will continue if employed at Acoustic Café?*

Yes
No

Do you have any limitations that might prevent you from performing your job?*

Yes
No

Are you legally authorized to work in the US*

If hired, proof of authorization will be required

Yes
No

Person to contact in case of emergency

Emergency Contact Name*
First Last

Emergency Contact Address*
Street Address City State ZIP Code

Emergency Contact Phone*

EDUCATION

Education History - List High School and any post High School education. Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools
Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools
Name & Location of School Currently Attending? Courses of Study Highest Grade Or Year Completed Degree Earned

School Activities, Special Accomplishments, Special Knowledge, Skills & Abilities

Employer History - Most Recent

List all you employers for the last 10 years. You may list additional jobs if you believe that they relate to your qualification for this position. Begin with most recent job first.

1. Last or Present Job

Company

Address
Street Address City State ZIP Code

Phone Number

Employed From
(mm/yyyy)

Employed To
(mm/yyyy)

Position Held

Describe Duties

Starting Salary

Ending Salary

Name & Title of Supervisor

Reason for Leaving

May We Contact Employer?

Yes

No

2. Next to Last Position

Company

Address
Street Address City State ZIP Code

Phone Number

Employed From
(mm/yyyy)

Employed To
(mm/yyyy)

Position Held

Describe Duties

Starting Salary

Ending Salary

Name & Title of Supervisor

Reason for Leaving

May We Contact Employer?

Yes

No

3. Second from Last Position

Company

Address
Street Address City State ZIP Code

Phone Number

Employed From
(mm/yyyy)

Employed To
(mm/yyyy)

Position Held

Describe Duties

Starting Salary

Ending Salary

Name & Title of Supervisor

Re

Jobs

Contact Information

Personal Information

EDUCATION

Employer History - Most Recent

1. Last or Present Job

2. Next to Last Position

3. Second from Last Position