EMPLOYMENT APPLICATION Name * First Name Last Name Position * What position(s) are you interested in? Server Host/Hostess Food Expeditor Bartender Barback/Busser Line Cook/Prep Cook Kitchen Assistant/Dishwasher What is your age? * 16-17 18-20 21+ Contact Information Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Availability * What days of the week are you available to work? Sunday Monday Tuesday Wednesday Thursday Friday Saturday Availability * What time of day are you available? Morning Evening Type of Employment * Are you looking for Full-Time or Part-Time employment? Full-Time Part-Time Full-Time Seasonal Part-Time Seasonal Start Date * If hired, when are you available to start? MM DD YYYY Certifications Check any of the following valid Certifications you currently have. Texas Alcoholic Beverage Commission (TABC) Seller/Server Texas Food Handlers Certification Texas Food Managers Certification How did you hear about Delaney's? * Education Education - High School Name of High School, City & State, and Area of Study. High School Status Currently attending Graduated Received GED Other Education - College/University/Tech Name of Higher Education, City & State, and Area of Study. Higher Education Status Currently attending Graduation Other Previous/Current Employment List your last two employers beginning with your current or most recent. Are you currently employed? Yes No 1) Name of Previous or Current Employer Date Employment Began MM DD YYYY Date Employment Ended MM DD YYYY Position/Title Salary/Hourly Rate $ Reason for Leaving 2) Name of Previous or Current Employer Date Employment Began MM DD YYYY Date Employment Ended MM DD YYYY Position/Title Salary/Hourly Rate $ Reason for Leaving Which of these jobs did you like the best and why? References 1) Reference First Name Last Name Relationship Occupation Phone (###) ### #### Email 2) Reference First Name Last Name Relationship Occupation Phone (###) ### #### Email Have you ever been convicted of a felony offense? * No Yes If yes, explain below. List any special skills, certifications, or awards. List any activities or volunteer work you are a part of or perform. Military Service Have you served in the U.S. Armed Forces? * No Yes Branch of Service Air Force Army Coast Guard Marine Corps Navy Years of Service Disclaimer and Acknowledgement Delaney's Irish Pub & Scratch Kitchen is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. I certify that all the information submitted by me in this application is true, correct, and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules, policies and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice at anytime. Thank you!