Carmines ApplicationName Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone Email For which position are you applying? Server / CocktailHostBusserBartender / BarbackLine CookDishwasherPrep CookWhen are you available to start? If hired can you submit documents to prove your legal right to work in the US? YesNoPlease indicate your age Under 1616-1718-2021+If hired can you submit proof of age? YesNoSome shifts start as early as 8am and end as late as 1am. Do you have adequate transportation to and from work on the days you are available? YesNoHow many jobs have you held in the last 2 years? 1234 or moreHow many jobs have you been terminated from? 01234 or moreWhat are you looking for? Part TimeFull TimePlease list your hours of availability Monday - Sunday Are you available to work holidays and weekends? YesNoWe may conduct training on days or at times you have other obligations. Is your schedule flexible so you may come to training? YesNoAre you in school or taking courses? YesNoWhat other commitments do you have that may affect your schedule? We do not permit smoking in the restaurant while on duty. Are you willing to comply? YesNoHave you trained others in the past? YesNoWhere? Do you have any desire to become a trainer? YesNoPlease list 3 personal references other than immediate family. (Name, Phone, How long you've known them and what your relationship is) Please list your high school, dates attended, last year completed. Please list your college (or other) experience, dates attended, major and degree Please list your work history, responsibilities, immediate supervisor, phone number and reason for leaving Can we contact your previous employer? YesNoDo you understand the job requirements? YesNoCan you perform the essential functions required by the job for which you are applying either with or without reasonable accommodations? YesNoPLEASE READ THE FOLLOWING CAREFULLY AND SIGN BELOW I certify that the information provided in this application and that I will provide in in seeking employment is true and complete and that I will update any information that changes. I understand that fake or misleading information given in this application or during interviews may result in disqualification from consideration of employment or discharge in the event of employment. I authorize Carmines to make such inquiries of me, my references, prior employment and any third party including but not limited to MVA or any court or criminal justice entity it deems appropriate to verify and evaluate my qualifications. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
