Please fill out the below application for our review. We will contact you if your abilities match our current needs. * indicates required fields.

Programs, Services and employment are equally available to everyone. Please inform the Human Resources Department if you require reasonable accommodations for the application or interview.


Application Data:
First Name*
 
Last Name*
 
Address
City
State
Zip
Phone
Email Address*
Date Available to Start
Salary Requirement
If under 18 and we require a work permit, can you furnish one?
If no explain
Type of employment desired?
Position Desired ?
Are you a citizen of the United States?
Have you ever pled "guilty" or "no-contest," or been convicted of a crime?
If yes, give dates and details

Answering "yes" to these questions does not constitute an automatic rejection for employment. Date of the offense, seriouseness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's License number if applicable to the position
Driver's License State
Who referred you to us?

Education:
High School and Address
Did you graduate
GPA
College/University and Address
Did you graduate
GPA
References:
Please furnish the names, addresses and telephone numbers of two people to whom you are not related and by whom you have not been employed.
Name
Phone
Address
   
Name 2
Phone 2
Address 2

Summerize Your Special Skills or Qualiifacations:

Previous Employment: (begin with most recent position)
Dates From and To
Position Held
Name anf Address of Employer
Phone
Supervisor and Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for Leaving
May we contact this employer?
 
Dates From and To
Position Held
Name anf Address of Employer
Phone
Supervisor and Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for Leaving
May we contact this employer?
 
Dates From and To
Position Held
Name anf Address of Employer
Phone
Supervisor and Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for Leaving
May we contact this employer?
 

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matters as may be necessary for an employment decision. I herby release emplyers, schools or personas from all liability when responding to inquires in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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©2005 Jag's Grill and Spirits
Phone 760.751.5040 . Fax 760.751.1052
29000 Lilac Road, Suite A . Valley Center, CA 92082

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