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Backdraft Restaurant & Bar
Employment Application
Apply Online

Backdraft is an Equal Opportunity Employer.

* Indicates a required field.

Application Information

Date

* Name
First Middle Last

* Email

* Telephone

* Present Address
Street City State Zip

Years at above address

* Position(s) Applied for  
(Bartender, Waitstaff, Kitchen, Managerial, Busperson, Delivery, Kitchen, Janitorial, etc.)
       Full Time   Part Time

If job involves driving: Drivers License # Expiration Date

If employed in the position for which you have applied, would you be in a supervisory or subordinate relationship to any relative or member of your household?
* Yes   No

If under 18 years of age, can you submit a work permit at the time of employment?
* Yes   No   Not Applicable

How did you learn of this job opening?


Personal Data

* Address
Street City State Zip
* Telephone

List memberships in professional organizations which you feel would enhance your application. You may exclude, if you wish, any whose names would indicate the race, religion, age, color, national origin, marital status, gender, sexual orientation, or ancestry of its members.

Have you ever been convicted of a crime other than traffic infractions?
Yes   No
If Yes, please explain: (NOTE: Conviction is not an automatic bar to employment. Each case will be considered on its own merits.)

Skills

Please list relevant skills and abilities:


Professional Licenses or Certifications

TIPS Training, etc.


Work Experience

Beginning with most recent job, please fully account for all time, including periods of unemployment, military service, and any prior employment. (COMPLETION OF BACKDRAFT'S EMPLOYMENT APPLICATION IS REQUIRED FOR ALL ADMINISTRATIVE AND STAFF POSITIONS). By listing names of prior employers and supervisors, you are consenting, unless otherwise indicated in writing, to Backdrafts contacting those persons specifically listed (or persons who are available through the employer if the supervisor listed is no longer employed) for purposes of confirming information relating to your prior employment including but not limited to, providing a reference.

1. Name of employer Job Title
Address Describe work performed
Supervisor's Name and Title Phone No. May we contact?
Yes No
Date started Date ended Starting pay Leaving pay Reason for leaving
2. Name of employer Job Title
Address Describe work performed
Supervisor's Name and Title Phone No. May we contact?
Yes No
Date started Date ended Starting pay Leaving pay Reason for leaving
3. Name of employer Job Title
Address Describe work performed
Supervisor's Name and Title Phone No. May we contact?
Yes No
Date started Date ended Starting pay Leaving pay Reason for leaving
4. Name of employer Job Title
Address Describe work performed
Supervisor's Name and Title Phone No. May we contact?
Yes No
Date started Date ended Starting pay Leaving pay Reason for leaving


Education and Training

Name of School and Address No. of Years Course or Major Graduate? Degree
High School
College
Graduate
School
Trade or
Business School
Other Training


References

List three persons, other than relatives or personal friends, who have knowledge of your work experience and/or education:
Name Address City State Zip Day Phone #
1.
2.
3.

Resume:

Please copy and paste your resume below, if you have one:

I hereby certify that the information on this application is correct and complete to the best of my knowledge. I also understand that Backdraft Restaurant is relying on the information that I provide in this application and during any interviews, to be true, correct, and complete, and that providing false or misleading information or omitting any material information on this application or in any interviews may result in discharge of employment. I also agree that, if employed, I will abide by all policies and procedures established by Backdraft Restaurant and outlined in the Employee Guide.

I understand and agree that, if considered and hired by Backdraft, my employment with is terminable at will by either me or the restaurant at any time, with or without notice, and for any reason, with or without cause.

   

Backdraft Restaurant & Bar
Human Resources
1425 The Hideout
Lake Ariel, PA 18436-9544
Phone: (570) 698-8577
FAX: (570) 300-1711
Copyright © 2007 Leeman Enterprises LLP d.b.a. Backdraft Restaurant. All Rights Reserved.