Application

Data Elements: application.aspx

* Indicates required field

Personal Information

First Name *

M.I.

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone Number *

Alternate Phone

May we text message you?

Yes No

Email Address *

Education

High School Name *

High School City *

Higher Education

University/College, Trade School, Apprenticeships, or other advanced education

Please provide course of study and completion details including institution/course provider, dates, certifications/degrees earned

Experience and Skills

Position Applying For *

Do you have a valid Food Handlers Card?

Yes No

MAST Permit?

Yes No

Do you have previous experience in this position?

Yes No

If yes, how many years?

Restaurant and/or food handling experience that makes you a good candidate for this position?

If you would like to attach a resume to this application, you may do so here

Employment History

Business Name *

Supervisor's Name *

Location *

Phone *

Dates of Employment *

Do you feel this employer would give you a good referral? Please tell us why or why not.

Business Name

Supervisor's Name

Location

Phone

Dates of Employment

Do you feel this employer would give you a good referral? Please tell us why or why not.

References

Reference 1 Name *

Years Known *

Relationship *

Phone Number *

Reference 2 Name *

Years Known *

Relationship *

Phone Number *

Reference 3 Name *

Years Known *

Relationship *

Phone Number *

I certify that the information given by me is true and complete to the best of my knowledge. I understand that if I am employed, the discovery that I gave false information during the application process may result in immediate dismissal.

I authorize the Maltby Cafe to which I am providing this application, to investigate all statements contained in this application and to request information about me from previous employers, educational institutions, and references. I expressly authorize my previous employers to provide information and opinions concerning my work and work habits. Further, I release all parties, including The Maltby Cafe and persons connected with any requests for information from all claims, liabilities, and damages for whatever reason, arising out of furnishing any information. If employed, I release The Maltby Cafe from any liability for future references it may provide regarding my work history with The Maltby Cafe.

In the event of employment, I understand that I am required to abide by all current and subsequently issued rules, regulations and policies of The Maltby Cafe and that my first 90 days of employment are probationary, meaning that I may be terminated, at any time, with or without notice.

I AGREE

Name & Signature *

Date *