Application for Employment

PARKER JAZZ CLUB IS AN EQUAL OPPORTUNITY EMPLOYER
IN ORDER FOR YOU TO BE CONSIDERED FOR EMPLOYMENT, THIS APPLICATION MUST BE FILLED OUT IN ITS ENTIRETY

GENERAL INFORMATION

Date

YYYY

Name

First Name

Last Name

Birthdate

YYYY

Current address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell phone

(###)

###

####

Person to contact in an emergency

First Name

Last Name

Emergency contact's phone number

(###)

###

####

For which position are you applying?

Specific position must be checked for this application to be considered

Host/Hostess

Bartender

Barback

Salary desired

Type of employment desired

Full-time

Part-time

Date available for employment

YYYY

Referred by

If yes, please explain

WORK SCHEDULE AVAILABILITY

What shifts/hours are you available to work?

We have shifts from __ to __ Tuesday through Saturday, with occasional work on Sundays and Mondays. Please list hours for each day of the week.

How many hours per week do you expect to work?

Name and location of high school

High school diploma or GED?

Yes

Name and location of college (or other)

Major

College degree?

Yes

EXPERIENCE

Present employer (or most recent)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of employment

From MONTH/YEAR to MONTH/YEAR

Salary

Name and title of supervisor

Your title and description of duties

Reason for leaving

Previous employer

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of employment

From MONTH/YEAR to MONTH/YEAR

Salary

Name and title of supervisor

Your title and description of duties

Reason for leaving

Previous employer

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of employment

From MONTH/YEAR to MONTH/YEAR

Salary

Name and title of supervisor

Your title and description of duties

Reason for leaving

SIGNATURE (please sign your full name)

The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ in the future.

Date

YYYY