Job Description - Summary/Objective: Thank you for your interest in joining the team at Moondance Grill. We are not hiring at this time. Online Application Form Application Form Position applying for: Your Name Last name First name Middle initial Address Street Address City State Zip Contact Details Home phone Cell phone Email address Date you can start: Desired Salary: Are you 21 years of age? ---yesno Are you a citizen of the United States? ---YesNo If not, are you authorized to work in the U.S.? ---YesNo Have you ever been convicted of a felony? ---YesNo If yes, please explain Education High School Address From To Did you graduate? ---YesNo Degree College Address From To Did you graduate? ---YesNo Degree Other Education Address From To Did you graduate? ---YesNo Degree Previous Employment Please list your previous experience beginning with the most recent: Employer 1 Employer Address Phone number Position(s) Ending Pay Responsibilities Employed from Employed to Supervisor Reason for leaving Eligible for re-hire? Employer 2 Employer Address Phone number Position(s) Ending Pay Responsibilities Employed from Employed to Supervisor Reason for leaving Eligible for re-hire? Employer 3 Employer Address Phone number Position(s) Ending Pay Responsibilities label>Employed from Employed to Supervisor Reason for leaving Eligible for re-hire? Military Service Branch From To Rank at discharge Type of discharge If other than honorable, please explain: Personal References Please list three professional references: Reference 1 Reference 1 phone Reference 2 Reference 2 phone Are you ServSafe verified? ---yesno Do you have an ABC card? ---yesno Are you at least 18 years of age? ---yesno Resume upload (optional) I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Name Date Δ