Jailhouse Tavern

 

Employment

Please fill out the form below or download the print form here.

General Information

 
Full Name (required)
Middle Initial
Today's Date
Are you over 16? YesNo
Are you over 18? YesNo
Are you over 21? YesNo
Address (Street)
Apt. No. / P.O. Box No.
City
State
Zip (Postal) Code
Telephone Number
Email Address (required)
Dates Available to Work
Start:
Finish:
Desired Salary
Position Applied for:
Are you a citizen of the United States? YesNo
Are you authorized to work in the U.S.? YesNo
Have you ever worked for this company? YesNo
If yes, when?
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Education

 
High School
Address
From:
To:
Did you graduate? YesNo
Degree
   
College
Address
From:
To:
Did you graduate? YesNo
Degree
Graduating Class
Fall Return Date
   
Other
Address
From:
To:
Did you graduate? YesNo
Degree

 
Personal References

 
Please list three professional references.
Full Name
Relationship
Company
Telephone
Address

 
Full Name
Relationship
Company
Telephone
Address

 
Full Name
Relationship
Company
Telephone
Address

 
Previous Employment

 
Company
Telephone No.
Street Address
City
State
Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Date worked: From
Date worked: To
Reason for leaving
May we contact YesNo

 
Company
Telephone No.
Street Address
City
State
Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Date worked: From
Date worked: To
Reason for leaving
May we contact YesNo

 
Company
Telephone No.
Street Address
City
State
Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Date worked: From
Date worked: To
Reason for leaving
May we contact YesNo

 

 
Disclaimer:

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.


By submitting this application I acknowledge agreement with the above.

508-255-JAIL

28 West Road Orleans
Cape Cod Massachusets
Open Wednesday - Sunday 11:30 am - 9:00 pm Closed Monday & Tuesday
WPF