5105 I 55 North Frontage Jackson, MS 39206

5105 I 55 North Frontage Jackson, MS 39206

ISH Grill &Bar

5105 I 55 North Frontage ~ Jackson, MS 39206

769-257-5402

APPLICATION FOR EMPLOYMENT

Please email your completed applications to: . Resumes are accepted: however, an application must be on file to be considered for an interview.

Date of the Application / /

First Name Middle Name Last Name

Age Date of Birth / /

Street Address

City State Zip

Telephone ( ) - Alternate Telephone ( ) -

Social Security # - -

Position applying for Bartender Cook Server Dishwasher Custodian

When can you start? Click here to enter a date.

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?

Yes No

Are you looking for full time employment? Yes No

If no, what hours are you available?

Any Restrictions?

Are you willing to work split shifts? Yes No

Are you willing to work closings 10 pm or 2 am? Yes No

Have you ever been convicted of a felony? Yes No

If yes, please fully describe the circumstances:

Education:

High School Name Location Did you graduate? Yes No

If not, do you have a GED? Yes No

College Name Location Degree Earned Yes No

Major Year of Graduation

Are you currently enrolled or planning in enrolling in any school: Yes No

In addition to your work history, are there are other skills, qualifications, or experience we

should consider:

Employment History: (Start with most recent employer.)

Company Name

Address Telephone

Position

Date Started / / Date Ended / /

Name of Supervisor May we contact? Yes No

Responsibilities

Reason for leaving

Company Name

Address Telephone

Position

Date Started / / Date Ended / /

Name of Supervisor May we contact? Yes No

Responsibilities

Reason for leaving

Company Name

Address Telephone

Position

Date Started / / Date Ended / /

Name of Supervisor May we contact? Yes No

Responsibilities

Reason for leaving

Medical History:

Please list any illness, pregnancy, or medical conditions:

Are you physically unable to do any tasks that may be necessary in the Restaurant/Bar

business?

Please list and Medications being used:

Do You presently use any illegal drugs? Yes No

If so which?

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history.

I understand that I am employed as an independent contractor and as an "at will employee" which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason.

Applicant Name Date / /

Please email your completed applications to: . Resumes are accepted: however, an application must be on file to be considered for an interview.

Applications are Kept on file for 2 weeks….Do Not Write Below This Line

Employee Signature______Date:______

Management Comments:

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