Silver Star Saloon & Grill Employment Application

Personal Information
Application Date*
MM slash DD slash YYYY
Name*
First Middle Last
Current Address*
Street Address City State ZIP Code
Phone Number
Email Address*
If hired, can you provide evidence of legal eligibility to work in the U.S.?*
- Yes
- No
Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
Position Desired*
Wage/Salary Desired
Full Time?
- Yes
- No
Part Time?
- Yes
- No
Date you can begin work
MM slash DD slash YYYY
Are you 18 years or older?
- Yes
- No
If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by state or federal law

Your Employment History
List names of employers with present or last employer listed first
May we contact current employers before you are offered a position?
- Yes
- No
1. Name of Employer
Job Title
Dates of Employment (From: and To:)
Employer Address
Street Address City State / Province / Region ZIP / Postal Code
Duties
Name of Supervisor
First Last
Phone Number
Reason for Leaving
Starting pay
Ending pay
2. Name of Employer
Job Title
Dates of Employment (From: and To:)
Employer Address
Street Address City State / Province / Region ZIP / Postal Code
Duties
Name of Supervisor
First Last
Phone Number
Reason for Leaving
Starting pay
Ending pay
3. Name of Employer
Job Title
Dates of Employment (From: and To:)
Employer Address
Street Address City State / Province / Region ZIP / Postal Code
Duties
Name of Supervisor
First Last
Phone Number
Reason for Leaving
Starting pay
Ending pay
*
- I have read and understood all of this application.
Date*
MM slash DD slash YYYY
Signature or Typed for Digital Application*
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Employment Application