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    Employment Application General Information


    Desired Position(s)

    FRONT OF THE HOUSE:

    Team LeaderTeam Member

    KITCHEN:

    Team LeaderTeam Member

    OTHER (Please specify):


    Desired Location(s)*

    LoHi DenverCentennial

    Last Name*

    First Name*

    Middle Name

    Birthday

    Email Address*

    Address*

    Mobile Number*

    Phone Number

    Are you legally eligible for employment in the U.S.?*
    (All new hires will be required to provide proof of
    eligibility to work in the U.S.)

    YesNo

    Are you less than 18 years of age?*
    (Poke House is required to comply with federal,
    state, or provincial law.)

    YesNo

    Do you have any friends/relatives working at Poke House?* (If “Yes”, please give name, relationship, location.)

    YesNo



    AVAILABILITY

    When are you available to start?*

    Would you work holidays and/or weekends?*

    YesNo

    How many hours are you looking to work?*

    0-16 Hours16-20 Hours

    20-35 Hours35+ Hours

    How long would you like to work at Poke House?*

    3 Months6 Months

    1 Year+Seasonal

    HOURS AVAILABLE
    Monday

    To

    Tuesday

    To

    Wednesday

    To

    Thursday

    To

    Friday

    To

    Saturday

    To

    Sunday

    To

    Did you graduate?

    Please select highest level of education completed.*

    High schoolCollege

    Graduate SchoolNone




    What is your desired hourly rate of pay?*

    EMPLOYMENT HISTORY

    List previous jobs, most recent first

    JOB 1

    Name of Employer

    Dates of Employment

    What were your duties?

    Reason for leaving?

    Position

    Rate of Pay

    Manager’s Name

    Phone Number

    Email

    + Job 2

    JOB 2

    Name of Employer

    Dates of Employment

    What were your duties?

    Reason for leaving?

    Position

    Rate of Pay

    Manager’s Name

    Phone Number

    Email


    We would love to know more about you…

    Can you tell me a little about yourself?

    How did you hear about the position?

    What type of work environment or culture makes you the most productive and happy?

    What are your strengths and weaknesses?

    DISCLAIMER AND SIGNATURE*

    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    Signature*

    Date*


    ANTI-DISCRIMINATION CLAUSE

    This Company does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local laws.

    Thank you

    FOR APPLYING TO JOIN THE POKE HOUSE TEAM!

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