SOUTH PACIFIC SPORTS BAR
APPLICATION FOR EMPLOYMENT

Date: 

PERSONAL INFORMATION
Name: (First, Last)    Are you at least 21 years of age?:     
Phone:          Home    Work:  
Present Address:

How long?

  
City:   State:   Zip Code: 
Previous Address:

How long?

  
City:  State:   Zip Code: 
Referred By: 
EMPLOYMENT DESIRED
Position:    Date you can start?    Pay Desired?
Are you employed? Yes   No      If so, may we contact your present employer?  Yes    No
Do you have a current Liquor Server Card? Yes  No                               Expires:
Do you have a current Food Handlers Permit?  Yes  No                         Expires:
EDUCATION/GENERAL
High School:  Did you Graduate?  Yes  No
College:    Years Attended:    Did you Graduate?  Yes  No
Subject Studied: 
Trade, Business School:  Years Attended: Did you Graduate?  Yes  No
U.S. Military or Naval Service:    Rank:    Years in Service: 
Special Training/Skills:  
Hobbies/Interests:
FORMER EMPLOYERS (Most current employer first)
Employer: Supervisor:   Salary:
From:    To:    Position: 
Description of Duties:
Employer:   Supervisor:   Salary:
From:    To:    Position: 
Description of Duties:
Employer:   Supervisor:   Salary:
From:     To:   Position:
Description of Duties:
REFERENCES (List persons not related to you, whom you have known for at least one year.)
Name:    Phone: Business: Years Known:
Name:    Phone: Business: Years Known:
Name:    Phone: Business: Years Known:
AUTHORIZATION
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. 
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. 
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

 
Date:    Signature: