7605 SD Highway 42

Sioux Falls, SD 57110

Phone: 605-335-4390

Open Daily 11 AM - 2 AM

Employment Form

Job Application

Contact Info

First Name

Middle Initial

Last Name

Phone

Double-click here to add a label

Address

Address Line 2

City

State

Zip

Date Available

Position Applied For

Desired Salary

Are You A Citizen Of The United States

Yes

If No, Are You Authorized To Work In The U.S.

Yes

Do You Have Reliable Transportation

Yes

Have you worked here before?

Yes

If Yes, When

Have you ever had a felony?

Yes

If yes, please explain.

Do You Smoke?

Yes

Do You Have A Cell Phone

Yes

Are You Friends with us on Facebook/Social Media

Yes

Experience

Employer 1 (Most Recent)

Employer

Phone

Starting Salary

Ending Salary

May We Contact Your Previous Supervisor For A Reference

Yes

Starting Salary

Ending Salary

Job Title

Responsibilities

Start Date

End Date

Reason for leaving

Employer 2

Employer

Phone

Starting Salary

Ending Salary

May We Contact Your Previous Supervisor For A Reference

Yes

Responsibilities

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

Employer 3

Employer

Phone

Starting Salary

Ending Salary

May We Contact Your Previous Supervisor For A Reference

Answer 1

Answer 2

Job Title

Responsibilities

Start Date

End Date

Reason for leaving

Education

Education (Most Recent)

High School

Address

Start Date

End Date

Did you graduate?

Yes

Degree

Collge

Address

Start Date

End Date

Did you graduate?

Yes

Degree

College

Address

Start Date

End Date

Did you graduate?

Yes

Degree

References

Name

Contact #

Years Known

Name

Contact #

Years Known

Name

Contact #

Years Known

Other Related Skills

include if you are currently TAM of Alchol Certified, Servsafe Certified

Schedule of Availability

Hours of operation are from 11:00AM - 2:00AM daily. Scheduled shifts can vary from 9:00 AM until CLOSE.

Hours per Week Desired

Full Time

Part Time

What Days Can You Work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Day or NIght

Day

Night

What time are you available on the days you work?

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

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