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Watershed Hospitality Concepts Employment Form
ALL FIELDS ARE REQUIRED - Social Security Number will be required before employment can begin.
First Name
Middle Name
Last Name
Address
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Phone Number
How long have you lived at the above address?
Are you 18 years old or older?
Yes
No
If not, state date of birth
Have you used any other legal names in the last 10 years?
Yes
No
Previous Name
Are you authorized to work in the U.S.?
Yes
No
Have you ever been convicted of a felony? (Answering "Yes" does not automatically disqualify you from consideration for this position.)
Yes
No
Position applied for:
To which Watershed Hospitality Concepts location are you applying?
Cask & Ale
Pi Pizza 3.14 / Blase Martini Bar
Lefty's Oyster & Seafood Bar
Pie on Main
Date you can start:
Are you applying for:
Full Time
Part Time
Days Only
Nights Only
Days/Nights
Who recommended you for this position?
EDUCATION
High School
Yes
No
Name & Address of High School
Grade or Degree Completed
Graduate
Yes
No
College or University
Yes
No
Name & Address of College or University
Grade or Degree Completed
Graduate
Yes
No
Others (Specify)
Grade or Degree Completed
Graduate
Yes
No
Certifications/Licenses
Please indicate experience/skills you have in the hospitality industry:
Bartender
Server
To Go Counter
Line Cook
Chef
Dishwasher
Vegetable Prep
Salad
Bus Person
Pastry Cook
Sandwiches
Manager
Sous Chef
Prep Cook
Pantry
Host
PREVIOUS HOSPITALITY INDUSTRY EXPERIENCE
Please provide us with your last employer by clicking the drop down below.
If this is your first job, GREAT, we'd love to train you!
YES this is my first job
But, if you have experience, we'd love to know about it. Please provide us with your last employer by clicking the drop down below.
Employment History
Click above arrow to fill in information.
Company Name
*
Phone Number
*
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Your Position
*
Immediate Supervisor
*
Title
*
Date Started
*
Salary
*
Date Left
*
Salary
*
Reason for Leaving:
*
Job Duties
*
Do you require any accommodations to perform the physical or mental demands of the position you are seeking?
Yes
No
Please provide a summary of the accommodations requested:
Have you ever applied to this company before?
Yes
No
Where?
When?
Are you currently employed?
Yes
No
Where?
In Case of Emergency Notify:
Name
Phone Number
Relationship
Address
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Watershed Hospitality Concepts maintains a safe and drug free environment for all its team members. As a condition of your employment, you may be required to participate in drug testing consistent with Florida law. Watershed Hospitality Concepts reserves the right to deny employment to any applicant who tests positive for illegal drugs or illegal amounts of alcohol.
I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the foregoing inquiries and my ability to meet the essential requirements of the job description as well as the physical and mental requirements of my position.
I have read these statements and answers to these inquiries.
Yes
No
Date
Signature
Type out your name as your digital signature.
If you are human, leave this field blank.
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