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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