Parthenon Grille Application Position(s) Applied For Server/Host/Bartender/Kitchen/Dish Date / Time How did you find out about this job? — Select — Online Walk-in Employee Relative If you were referred, please provide any pertinent information. Name/Relation Why are you seeking a new job at this time? Name * First Last Street Address * 555 Street St. (Apt#)/City/State/Zip Phone Number * (555)555-5555 Email Address * Days Available * Monday Tuesday Wednesday Thursday Friday Sunday Saturday Evenings Available * Monday Tuesday Wednesday Thursday Friday Sunday Saturday Have you ever been convicted of a crime? * — Select — Yes No (Massachusetts applicants should not include misdemeanor convictions; California applicants should not include marijuana related convictions that occurred more than 2 years prior to the application date.) If yes, state the nature of the offense and the disposition of the case Include dates and places. (NOTE: The existance of a criminal record does not constitute an automatic bar from employment. Employment History Please begin with most recent. Job 1 Company Name Address Street/City/State/Zip Phone Number (555)555-5555 Dates of emplyment Supervisor First Last Job Title and Duties Title/Description Reason for Leaving Job 2 Company Name Address Street/City/State/Zip Phone Number (555)555-5555 Dates of emplyment Supervisor First Last Job Title and Duties Title/Description Reason for Leaving Job 3 Company Name Address Street/City/State/Zip Phone Number (555)555-5555 Dates of emplyment Supervisor First Last Job Title and Duties Title/Description Reason for Leaving Job 4 Company Name Address Street/City/State/Zip Phone Number (555)555-5555 Dates of emplyment Supervisor First Last Job Title and Duties Title/Description Reason for Leaving