Please send an email with the following information to [email protected]

Contact Information

First Name:

Last Name:

Phone Number:

Desired Position

What position are you applying for? Choose one:

Line Cook
Baker / Pastry Chef
Front of House & Expo

How many years of restaurant experience do you have in this position?

Are you willing to submit to pre-employment and random drug screenings?


Do you prefer full-time or part time? Choose one:

I have no preference
I prefer full time
I am only available full time
I prefer part time
I am only available part time

When are you available? Select all that apply:

Monday 6am – 10am
Monday 10am – 2pm
Monday 2pm – 6pm
Monday 6pm – 10pm

Tuesday 6am – 10am
Tuesday 10am – 2pm
Tuesday 2pm – 6pm
Tuesday 6pm – 10pm

Wednesday 6am – 10am
Wednesday 10am – 2pm
Wednesday 2pm – 6pm
Wednesday 6pm – 10pm

Thursday 6am – 10am
Thursday 10am – 2pm
Thursday 2pm – 6pm
Thursday 6pm – 10pm

Friday 6am – 10am
Friday 10am – 2pm
Friday 2pm – 6pm
Friday 6pm – 10pm

Saturday 6am – 10am
Saturday 10am – 2pm
Saturday 2pm – 6pm
Saturday 6pm – 10pm

Sunday 6am – 10am
Sunday 10am – 2pm
Sunday 2pm – 6pm
Sunday 6pm – 10pm

Work History

Please provide this information for the past five years of employment.

Name of the business or individual that employed you:

Your title/position in this job:

What was your hourly wage?

Do you still work here?

When was your first day of work for this employer?

When was your last day of work for this employer?

What is the name of your direct supervisor?

Supervisor’s Phone Number:

Personal Reference



Phone Number: