OUTPOST BAR AND GRILL DEER RIVER, MN

Employment Application
Please complete the entire application and submit with resume.

Applicant Information
Full Name: Address: Phone: Date Available: Position Applied for:
YES NO YES NO

Date:

Email Desired Salary:$

Are you a citizen of the United States?

YES NO

If no, are you authorized to work in the U.S.?

YES NO

Have you ever worked for this company?

YES NO

Are you over 18?

Have you ever been convicted of a felony? If yes, explain:

Education
High School: From: College: From: Other: From: To: To: To: Address:
YES NO

Did you graduate? Address:

YES NO

Diploma::

Did you graduate? Address:

YES NO

Degree:

Did you graduate?

Degree:

References
Please list three professional references, including full name, relationships, and phone number. 1. 2. 3.

Military Service
Branch: Rank at Discharge: If other than honorable, explain: From: Type of Discharge: To:

OUTPOST BAR AND GRILL DEER RIVER, MN

Availability
Are you attending school, have a second job, or have another commitment that will affect your availability to work at the Outpost? If yes, is the schedule fixed or variable? Desired hours/week at Outpost:
YES NO

Circle the days of the week that you are available to SERVE Cross out the days of the week that you are NOT available to SERVE Sun Mon Tues Wed

Thurs

Fri

Sat

Circle the days of the week that you are available to BARTEND Cross out the days of the week that you are NOT available to BARTEND Sun Mon Tues Wed Thurs

Fri

Sat

Circle the days of the week that you are available to COOK Cross out the days of the week that you are NOT available to COOK Sun Mon Tues Wed

Thurs

Fri

Sat

Comments about times and dates available:

Previous Employment
Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Disclaimer and Signature

I certify that my 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.
Signature: Date: