Employment Application
(* INDICATES A REQUIRED FIELD)
Lone Star
Grill and Sports Cafe
* Name:
* First:
* Last:
* Address:
* City:
* State:
* Zip:
* Phone number:
* E-mail address:
* Date You Can Start:
Remarks
* Are You Employed:
* Position Desired:
* Employment History:
From:
To:
Employer
Position
Reason For Leaving
To:
From:
To:
From:
* References:
Name
Phone Number
Mr.
Mrs.
Ms.
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Yes
No
Bartender
Bouncer
Cook
Management
Waiter
JAN.
FEB.
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEP.
OCT.
NOV.
DEC.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2005
2006
2007