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EMPLOYMENT
Come Work with Ragtime!
Name: (Required)
Name: (Required)
Street Address: (Required)
Street Address: (Required)
City: (Required)
City: (Required)
State: (Required)
State: (Required)
Zip Code: (Required)
Zip Code: (Required)
Phone Number: (Required)
Phone Number: (Required)
Email Address: (Required)
Email Address: (Required)
What position are you applying for?
Server
Support
Bartender
Management
Line Cook
Are you seeking full time or part time work?
Full Time
Part Time
Are there any days you are not available?
Are there any days you are not available?
Employer #1:
Employer #1:
Job Title:
Job Title:
Date Employed From:
Date Employed From:
Date Employed To:
Date Employed To:
Reason for Leaving:
Reason for Leaving:
Employer Phone Number:
Employer Phone Number:
May We Contact?
Yes
No
Responsibilities:
Responsibilities:
Employer #2:
Employer #2:
Job Title:
Job Title:
Date Employed From:
Date Employed From:
Date Employed To:
Date Employed To:
Reason for Leaving:
Reason for Leaving:
Employer Phone Number:
Employer Phone Number:
May We Contact?
Yes
No
Responsibilities:
Responsibilities:
Personal/Professional Reference #1 (Name, Phone, & Relationship)
Personal/Professional Reference #1 (Name, Phone, & Relationship)
Personal/Professional Reference #2 (Name, Phone, & Relationship)
Personal/Professional Reference #2 (Name, Phone, & Relationship)
Personal/Professional Reference #3 (Name, Phone, & Relationship)
Personal/Professional Reference #3 (Name, Phone, & Relationship)
Have you ever been convicted of a felony?
Yes
No
Have you ever been fired/terminated from any employment?
Yes
No
If Yes to either, please explain. If NO, please put N/A.
If Yes to either, please explain. If NO, please put N/A.
Date Available
Date Available
Upload Your Resume: (pdf, doc, docx):
E-Signature
E-Signature
Date
Date
Submit
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