Name *

First Name

Last Name

Phone *

(###)

###

####

Are you interested in: *

Full-Time

Part-Time

Temporary

Summer

Are you available weekends? *

Yes

No

Are you available holidays? *

Yes

No

If you are under 21 years of age, please state your date of birth:

(no one under age of 16 may be hired)

MM

DD

YYYY

Are you a U.S. citizen or do you have a legal right & necessary documents to work in the U.S.? *

(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)

Yes

No

Were you ever discharged by any company? *

Yes

No

Phone

(###)

###

####

Dates

From

MM

DD

YYYY

Dates

To

MM

DD

YYYY

Phone

(###)

###

####

Dates

From

MM

DD

YYYY

Dates

To

MM

DD

YYYY

Work Phone

(###)

###

####

Work Phone

(###)

###

####

I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state, and/or local laws. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Hennessey’s Tavern. *

I understand and agree that if employed, the employment will be “At Will.” That is, either I or Hennessey’s Tavern may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Hennessey’s Tavern does not imply employment and that this application and/or any other Hennessey’s Taverns documents are not contracts of employment. *

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. Some states prohibit discrimination because of age. The age discrimination in Employment Act of 1967 prohibits the request of any information on this form. This information will not be used to discriminate against possible employment. We have designed this form to comply with State and Federal Fair Employment Practice Laws prohibiting discrimination on the basis of applicant’s sex or minority status. Questions directly or indirectly reflecting such status have been included ONLY where needed to determine a bona fide occupational qualification or for other permissible purposes. Such questions are appropriately noted on the application. *

Name *

First Name

Last Name

Date *

MM

DD

YYYY