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Kitchen / Back-of-House3RVLWLRQVBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Front-of-House / Service Staff - Position(s) : ____BBBBBBBBBBBBBBB_________
Nightlife / Security / GreeteU
Management
Sales
Other
We are an equal opportunity employer. Our recruiting and hiring practices are based solely on job-related criteria and that Cuba Libre Restaurant
& Rum Bar does not discriminate on the basis of any federal, state or locally protected class. Please answer all questions. A resume is not a
substitute for this application. COMPLETE ALL SECTIONS
PERSONAL INFORMATION (PRINT) DATE / /
DAYS AND HOURS AVAILABLE TO WORK
EDUCATION
LEGAL
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Name (Print) Last First Middle
Home Address City State Zip Code
Phone number to reach you home
Cell
Social Security No.
___ ___ ___ ___ Last 4 Digits Only
Date Available To Start Are you interested in (check all that apply)
/ / Full-time Part-time
Casual Summer
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From
To
Are you at least 18
years of age?
Are you able to
travel if needed?
Type of School Name and Location of School Degree/Field
of Study
Number of
Years Attended
Graduated
(Check One)
High School
Name Address
Yes
No
City State Zip
College
Name Address
Yes
No
City State Zip
Graduate School
Name Address
Yes
No
City State Zip
Other
Name Address
Yes
No
City State Zip
List any special skills, certications, licenses or military experience related to the industry:
Are you legally eligible to work in the United States? Yes No (Identity and employment eligibility of all new hires will be veried as required by the
Immigration Reform Control Act o6 1986)
Were you ever discharged by any company? Yes No If yes, give name of company(ies)________________________________________
Reason for discharge_________________________________________________________________________________________________
We use E-Verify to conrm employment eligibility status
Revised --1
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
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