Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Campus Box #
Campus Phone
E-mail

Do you have restaurant experience?

Yes
No

Work experience

Please detail your past working experience and include:

• place of employment
• phone number
• position held
• dates of employment
• name of supervisor

Position 1

Position 2

Position 3

What is your class year?

2009 2010 2011 2012

References

Please list two people who have known you for at least two years.  Include name, address, phone number, number of years aquatinted, and nature of relationship.

Reference 1

Reference 2

How many hours per week do you want work?

less than 5 5 to 10 11 to 15 16 or more

When can you start working?

-- mm/dd/yy

Can you work weekends?

yes
no

Do you certify that the above information is true and correct to the best your your knowledge?

yes
no