Personal Information
Phone (Day) 
Phone (Evening):
Email: Are you 18 years or Older?
Have you been convicted of a felony?
If yes, explain
Are you legally eligible for employment in the United States?
As a condition of employment, you are required to submit prrof of identity and employment eligibility in
compliance with the Immigration Reform and Control Act of 1986.
___________________________________________________________________________________________
Education
Do you have a high school diploma or equivalent?
Do you have a university or college degree?
___________________________________________________________________________________________
Work History: (Start with most recent employer)
Employeed From toPay rate Title:
Reason for leaving:
Supervisor Name:
May we contact them?
If No, Why?
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Employeed From toPay rate Title:
Reason for leaving:
Supervisor Name:
May we contact them?
If No, Why?
____________________________________________________________________________________________
What additional skills do you have that apply to this job?
____________________________________________________________________________________________
References
Please list the name and contact of a minimum of two references, excluding blood relations and/or personal
friends, who can supply us with professional references concerning your work habits.
1st Reference Information:
Name:
Phone:
City: State: Zip:
2nd Reference Information:
Name:
Phone:
City: State: Zip:
Questions: (Please answer the following questions best to your ability.)
1. As a member of the foodservice staff,
how would you help improve repeat
business?
2. If I asked your best friend to describe
you, what would he/she say?
3. What qualities do you need to be a
great in a restaurant?
4. What would your previous employers
say about your work?
5. What would you do to make a
negative situation positive?
6. What kinds of people irritate you?
7. What recent accomplishments do
you take great pride in?
8. What activities have you been
involved in during the past two
years?
9. What motivates you to get your job
done?
10. How do you feel about doing more
than one activity at a time?
My application for employment with EastSide Grill is made with understanding that nothing contained in this
application or in the granting of an interview is intended to create a contract between EastSide Grill and myself for either employment or for the providing of any benefit. Further, if EastSide Grill and I enter into an employment relationship, I understand that I may terminate my employment at any time for any reason and that EastSide Grill may terminate my employment at any time and for any reason. I certify that the statements on this form are true.
I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize EastSide Grill to obtain information concerning me from former employers, references, education, institutions and stat agencies for public records concerning, but limited to, motor vehicle or criminal records. I release all concerned from any liability or damages for issuing this information. By submitting this form acknowledges I understand this authorization.
