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Get 33rd Street Bistro Employment Application Form

Use additional sheets if necessary. Job title duties Employer Company/address Employment date From Check location Bistro 33 Davis Bistro 33 El Dorado Hills Bistro 33 Rocklin Spin Burger 33rd Street Bistro Riverside Clubhouse Suzie Burger SideBar PERSONAL INFORMATION Date To Reason for leaving Supervisor information Name Phone May we call Pay rates YES NO Address Are you under the age of 18 Are you authorized to work in the U.S. How were you referred to us Have you ever worked for us If YES when Have you ever been discharged or asked to resign by an employer NO If YES Why Relatives working for one of our family of restaurants Other experiences Training or skills that you feel are especially suited for work at the SRO family of restaurants Hobbies/Interests EMPLOYMENT DESIRED Position Date you can start Salary desired Maximum hours you can work each week Are you able to perform the essential functions of the job without a reasonable accommodation YES If NO please describe the function s you are unable to perform EDUCATION AVAILABILITY Earliest time you are available to work Latest time you are If required you may have to provide us with a Work Permit or Age Certificate. Circle last grade Completed in High School School name and location SUN MON TUE WED THU FRI Circle last year of college or vocational school completed Graduated Most recent school name and location GED Major / area of study / degree Are you currently a student To the best of my knowledge the information I have provided and the statements I have made in this application are correct and complete. I understand that misrepresentation or omission of facts called for in this application may be cause for immediate dismissal. I also understand that if accepted for employment my employment with SRO will be for no definite period of time and may be terminated at any time by either myself or SRO without cause and with or without notice. WORK HISTORY List all employers for the last five years as well as any food and beverage experience. Use additional sheets if necessary. Job title duties Employer Company/address Employment date From Check location Bistro 33 Davis Bistro 33 El Dorado Hills Bistro 33 Rocklin Spin Burger 33rd Street Bistro Riverside Clubhouse Suzie Burger SideBar PERSONAL INFORMATION Date To Reason for leaving Supervisor information Name Phone May we call Pay rates YES NO Address Are you under the age of 18 Are you authorized to work in the U.S. How were you referred to us Have you ever worked for us If YES when Have you ever been discharged or asked to resign by an employer NO If YES Why Relatives working for one of our family of restaurants Other experiences Training or skills that you feel are especially suited for work at the SRO family of restaurants Hobbies/Interests EMPLOYMENT DESIRED Position Date you can start Salary desired Maximum hours you can work each week Are you able to perform the essential functions of the job without a reasonable accommodation YES If NO please describe the function s you are unable to perform EDUCATION AVAILABILITY Earliest time you are available to work Latest time you are If required you may have to provide us with a Work Permit or Age Certificate. Circle last grade Completed in High School School name and location SUN MON TUE WED THU FRI Circle last year of college or vocational school completed Graduated Most recent school name and location GED Major / area of study / degree Are you currently a student To the best of my knowledge the information I have provided and the statements I have made in this application are correct and complete.

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