Step 1 of 7 - Personal Data 14% Personal InformationName* First Middle Last Date of Birth* MM slash DD slash YYYY SSN* Email* Phone*Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Qualification QuestionsAre you a US Citizen?*Select...YesNoAre you authorized to work in the US?*N/AYesNoHave you worked for Kate's Kitchen or Ronnie's Restaurant before?*Select...YesNoWhen did you work here before?* Have you been convicted of a felony?*Select...YesNoDescribe Circumstances...* PositionDate Available* MM slash DD slash YYYY Position Applying For*CookPrepServerBus PersonCashierDesired Pay* EducationHighest Level of Education Completed High School College Trade School or Other School High SchoolHigh School Name* Location or Address* Date(s) Attended* Did you graduate or complete?*Select...YesNoDegree / Diploma / Certificate Earned* CollegeCollege Name* Location or Address* Date(s) Attended* Did you graduate or complete?*Select...YesNoDegree / Diploma / Certificate Earned* Trade School or Other SchoolTrade School or Other School Name* Location or Address* Date(s) Attended* Did you graduate or complete?*Select...YesNoDegree / Diploma / Certificate Earned* ReferencesPlease list two professional references.Reference 1 Name* First Last Relationship* Company* Address or Location* Phone*Reference 2 Name* First Last Relationship* Company* Address or Location* Phone* Current/Past EmploymentPlease list your current or most recent employer.Company Name Job Title* Responsibilities* Address or Location* Phone*Supervisor Name* Date(s) of Employ* Starting & Ending Pay* Reason for Leaving* May We Call Your Supervisor for a Reference?*Select...YesNoAdd Another Past Employer?*YesNoPrevious Employer 2Company Name* Job Title* Responsibilities* Address or Location* Phone*Supervisor Name* Date(s) of Employ* Starting & Ending Pay* Reason for Leaving* May We Call Your Supervisor for a Reference?*Select...YesNoAdd Another Past Employer?*YesNoPrevious Employer 3Company Name* Job Title* Responsibilities* Address or Location* Phone*Supervisor Name* Date(s) of Employ* Starting & Ending Pay* Reason for Leaving* May We Call Your Supervisor for a Reference?*Select...YesNo Work AvailabilityCan You Work Weekends?*Select...YesNoShifts are 6am to 4pm. Is this OK?*Select...YesNoDo You Have Reliable Transportation?*Select...YesNoWhat Weekday Commitments Do You Currently Have?* Disclaimer & SignatureDo You Agree With These Statements?*I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Select...I AgreeI DO NOT AgreeApplication Date* Signature*NameThis field is for validation purposes and should be left unchanged.
