Employment Application Please complete all the required fields. We will contact you to schedule an interview if anappropriate position becomes available. Step 1 of 4 25% Applicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Contact Phone Number*Date Available*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Position Desired*Position DesiredHostBartenderLine CookPrep CookDishwasherServerManagerYears of Experience*Years of Experience:Less than a year2 to 5 years5 or more yearsDesired PayDate of birth*Are you at least 18 years of age?*Yes / NoYesNoAre you a citizen of the U.S.?*Yes / NoYesNoIf no, are you currently authorized to work in the U.S.?*Yes / NoYesNoIf using a visa for proof of eligibility, what is the Effective Date?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is the Visa Expiration Date?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Have you previously worked for the Cowboy Club or Barking Frog?*Yes / NoYesNoHave you ever been convicted of a felony?*Yes / NoYesNoDo you have a current Food Handlers Permit and / or an Alcohol Serving Permit*Current PermitsYes, I have a Food Handlers PermitYes, I have a Alcohol Serving PermitYes, I have both permitsNo, I do not have either permit Previous Employment – Please begin with most recentEmployer Name 1*Employer Phone:*Employer City / State*Employer Supervisor:*Job Title:*Starting Salary / Wage:*Ending Salary / Wage:*Main Duties*Length of Position*Reason For Leaving:*Add Additional Employers Add Second Employer Add Third Employer Employer Name 2*Employer Phone:*Employer City / State*Employer Supervisor:*Job Title:*Starting Salary / Wage:*Ending Salary / Wage:*Main Duties*Length of Position*Reason For Leaving:*Employer Name 3*Employer Phone:*Employer City / State*Employer Supervisor:*Job Title:*Starting Salary / Wage:*Ending Salary / Wage:*Main Duties*Length of Position*Reason For Leaving:* EducationHigh School:City / State:Did you graduate?Yes / NoYesNoCollege or Trade School:City / State:Did you graduate?Yes / NoYesNoReferencesReference Name 1Reference CompanyReference City / StateReference PhoneReference Name 2Reference CompanyReference City / StateReference Phone Other Information You Want Considered/Achievements/AccomplishmentsAdditional Information:Applicant Agreement (Read Carefully Before Signing)*All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may result in rejection of my application or, if employed, may result in subsequent dismissal. I hereby authorize any former employer, person, school, firm or corporation listed hereon, including this company, to answer any and all questions related to employment and agree to release from liability and hold all persons harmless for giving any and all truthful information within their knowledge or records. I understand this is a preliminary application and not a contract to employ me. Furthermore, in the event I am employed, my employment shall be completely voluntary and may be terminated “at will” at any time by either myself or the company. I understand that no one other than the company owner has authority to enter into any employment agreement to the contrary. I agree to comply with all rules of the company as a condition of employment.I AgreeToday's Date:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920