Personal Information Name * First Name Last Name Phone * (###) ### #### Email Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Referred By Employment Desired Why would you like to work for Two Chicks? Can you explain your relevant experience? Position Applying For * Server Host Busser Food Runner Expeditor Line Cook Prep Cook Dish Washer Other Desired Location * Two Chicks Midtown (752 S. Virginia) Two Chicks South (5851 S. Virginia) Any Available Date You Can Start * MM DD YYYY Availability * Please mark any days you are available to work between the hours of 5:00 am and 4:30 pm. Please do not mark days you are only partially available during those times. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holidays Are you employed now? * Yes No If yes, can we contact your current employer? Yes No Desired wage per hour $ General Information Do you have any training or certifications pertinent to your desired position? Languages Spoken Employment History 1. Name of Employer Location of Employer Beginning Date of Employment End Date of Employment Reason For Leaving 2. Name of Employer Location of Employer Beginning Date of Employment End Date of Employment Reason For Leaving 3. Name of Employer Location of Employer Beginning Date of Employment End Date of Employment Reason For Leaving References Reference 1. - First Name Last Name Relationship (###) ### #### Reference 2. - First Name Last Name Relationship (###) ### #### Reference 3. - First Name Last Name Relationship (###) ### #### Thank you! A manager will contact you should a position become available.
