Coach's Eastgate Grille

Coach's Eastgate Grille Employment Application Please fill out all fields then click the submit button. We will get back to you as soon as possible. Providing this online application does not imply Coach's Eastgate Grille is currently looking for employees. All applications will be held for six (6) months. If you are called in, you will be asked to show your drivers license, proof of residency, and social security card.

First Name
Last Name
Address
City
State		Zip
Phone
Mobile Phone
E-Mail
Date of Birth	Month: Day: Year:

Date Available to Start	Month: Day:
Salary Requirement	/Hr.	If you are under 18, can you furnish a work permit?
		If no, please explain

Have you ever worked for this company? If Yes, when? Are you a citizen of the United States? If No, are you legally allowed to work in the United States?

Type of Emploment Desired Type of Position Desired

Have you ever pleaded 'guilty', 'no contest', or been convicted of a crime? If yes, give dates and details: Answering 'yes' to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Summarize your special skills and qualifications:
Previous Employment Begin with the most recent position
Dates of Employment	From	To	Position Held
Company: Address: Phone: Supervisor: Supervisor's Title: Responsibilities: Starting Salary: /Hr. Starting Title: Ending Salary: /Hr. Ending Title: Reason for Leaving: May we contact this employer for references?

Dates of Employment	From	To	Position Held
Company: Address: Phone: Supervisor: Supervisor's Title: Responsibilities: Starting Salary: /Hr. Starting Title: Ending Salary: /Hr. Ending Title: Reason for Leaving: May we contact this employer for references?

Dates of Employment	From	To	Position Held
Company: Address: Phone: Supervisor: Supervisor's Title: Responsibilities: Starting Salary: /Hr. Starting Title: Ending Salary: /Hr. Ending Title: Reason for Leaving: May we contact this employer for references?

I certify that my answers are true and complete to the best of my knowledge. I authorize Coach's Eastgate Grille to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. In lieu of a signature, please provide the following: