List employment starting with most recent position. Account for any time during this period that you were unemployed by stating the
nature of your activities. May we contact your present employer? ❏ Yes ❏ No Past Employer? ❏ Yes ❏ No Please note if you were
employed under a different name.
Dates Name, Address, Phone
Of Employer
Position Held
And Manager
List Major
Duties
Reason For
Leaving
From:
______/______
Mo. Yr.
To:
_____/_______
Mo. Yr.
Name
Job Title
Address City
Manager
Sate Phone
( )
From:
______/______
Mo. Yr.
To:
_____/_______
Mo. Yr.
Name
Job Title
Address City
Manager
Sate Phone
( )
From:
______/______
Mo. Yr.
To:
_____/_______
Mo. Yr.
Name
Job Title
Address City
Manager
Sate Phone
( )
From:
______/______
Mo. Yr.
To:
_____/_______
Mo. Yr.
Name
Job Title
Address City
Manager
Sate Phone
( )
Have you previously worked for us? ❏ GuestCounts Hospitality ❏ Cuba Libre Rstaurant & Rum Bar
Location_______________________________________________________ Position Held________________________________
Manager_______________________________ Dates Employed: From_______________________ To:_______________________
Reason For Leaving_________________________________________________________________________________________
EMPLOYMENT HISTORY
REFERENCES
PLEASE READ CAREFULLY
Business references: (Do not list relatives or friends and please indicate if you were employed under a different name)
Name Contact Number Title Years Known
Revised 2-28-2018
I understand that, with my authorization, an investigation may be made whereby information is obtained regarding references,
previous employment history, general reputation, educational background, criminal history, subject to applicable federal, state and/or
local laws.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in
immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Cuba Libre Restaurant & Rum Bar.
I understand and agree that, if employed, the employment will be “at will”. That is, either I or Cuba Libre Restaurant & Rum Bar my
end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Cuba
Libre Restaurant & Rum Bar does not imply employment and that this application and/or any other Cuba Libre Restaurant & Rum
Bar documents are not contracts of employment.
__________________________________________________________________ _________/_________/__________
APPLICANT’S SIGNATURE DATE SIGNED
