THE TAP ROOM RESTAURANT

EMPLOYMENT APPLICATION

1269 Garnet Ave, San Diego, CA 92109 (across from Henry’s market)

Name:  Last_______________First__________________Middle___________________

Address:  Street_____________City____________Zip_________Phone_____________

Email:    ____________________________________

Over 21 yrs. of age Y__  N__ :  Originally from:  _____________________________

Lived in San Diego for how long____________________________________________

School you presently attend_________________________________________________

School you are planning to attend_____________________________________________

Last school attended/Highest Education________________________________________

Possible schedule conflicting considerations____________________________________

Special Job Skills or Qualifications___________________________________________

Full Time_______        Part Time________     Flexible__________

Days & Time Available:____________________________________________________

________________________________________________________________________

Position applying for:  (circle all that apply)                  -Bartender / Cocktail Server

                                                                                                - Hostess / Doorperson / Driver

                                                                                                - Foodrunner / Counter

                                                                                                -Kitchen / Pizza-maker

                                                                                                -Busser / Dishwasher

PREVIOUS EMPLOYMENT

1. Employer’s Name:                                                          Job Description:

    Employment Dates:                                                        Beginning & Ending Wages:

    Employer’s Phone:                                                          Reason for leaving:

2. Employer’s Name:                                                          Job Description:

    Employment Dates:                                                        Beginning & Ending Wages:

    Employer’s Phone:                                                          Reason for leaving:

3. Employer’s Name:                                                          Job Description:

    Employment Dates:                                                        Beginning & Ending Wages:

    Employer’s Phone:                                                          Reason for leaving:

REFERENCES

1.  Name:                                                                              Occupation:

     Phone:                                                                              Address:

     Relationship

2.  Name:                                                                              Occupation:

     Phone:                                                                              Address:

     Relationship

I certify that the information in this application is correct and complete to the best of my knowledge and I understand that intentionally falsifying information could result in refusal of employment or discharge from employment.  I also authorize the employers, schools, and individuals named above to provide information to my prospective employer regarding my employment, education, character and qualifications.

Date:______________

Signature of Applicant

This company is an equal opportunity employer. Your application will be considered without regard to race, age, color, gender, religion, national origin, marital status, ancestry, citizenship, veteran status, or physical or mental disability.