APPLICATION FOR EMPLOYMENT

Position Applying For:	*
Email Address:	*
First Name	*
Middle Initial
Last Name	*
Phone #	*
Present Address	*
City	*
State	*	- - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip	*
Are you eligible for employment in the USA?	*	Yes No
Do you (waitstaff and bartenders) have a current TABC card?	*	Yes No
Do you have a current Food Handlers Certificate?	*	Yes No
Have you ever been employed by Patrick S. Molak Corp.?	*	Yes No
If yes, where?		-- Choose One -- Cantina del Rio Cotton Eyed Joe's Gristmill River Restaurant Gruene Antique Co. Gruene Hall Josephine St. Cafe Lonestar Eclectic Mozie's Bar & Grill The Grapevine
Salary Requirements:
Age if less than 18 yrs:
In case of emergency, notify:
Name	*
Phone #	*
Address
City
State		- - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip
How were you referred to Josephine Street?	*	- - Choose One - - Friend/Family Member Walk-in Craigslist Facebook Handshake Indeed LinkedIn Poached Uloop Zip Recruiter University Star Newspaper San Antonio Express News Herald Zeitung Other
Please name friends that work for the Josephine Street Cafe:
AVAILABILITY TO WORK:
LUNCH		Monday Tuesday Wednesday Thursday Friday Saturday Sunday
DINNER		Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Do you have transportation?	*	Yes No
Can you work holidays?	*	Yes No
Can you work nights?	*	Yes No
EDUCATION:
Percentage of school you earn through working:		0-25% 25-50% 50-75% 75-100% n/a
High School Name:
Number of years completed:	*	9 10 11 12
Name of College:
Number of years completed:		1 2 3 4
Name of College:
Number of years completed:		1 2 3 4
Other Training:
ACTIVITIES:
List high school and college activities in which you are involved, leadership positions held, or honors received.
To what community, social and professional organizations do you belong? Also list any offices held.
What hobbies or recreational activities do you enjoy?
What books, magazines, journals, etc. do you read frequently?
PERSONAL AND PROFESSIONAL GOALS: The following questions are designed to provide insight into your goals and ambitions.
What are your personal goals for the next twelve months?
What are your professional goals for the next twelve months?
Why do you want to work in a restaurant?
What reservations do you have about working in a restaurant?
Why do you want to work at The Josephine Street Cafe?
EMPLOYMENT HISTORY: Please start with your present or last employer. Please list all firms with whom you have worked in the past 5 years. Include periods of unemployment, suspension from work, self-employment and any jobs held while in school.
MOST RECENT EMPLOYER
Start Date:
End Date:
Name of Firm:
Address (Include City/State/Zip):
Phone # (include area code)
Immediate Supervisor's Name and Position:
Position Held:
Beginning Salary:
Ending Salary:
Duties Included:
Reason for Leaving:
NEXT MOST RECENT EMPLOYER
Start Date:
End Date:
Name of Firm:
Address (Include City/State/Zip):
Phone # (include area code)
Immediate Supervisor's Name and Position:
Position Held:
Beginning Salary:
Ending Salary:
Duties Included:
Reason for Leaving:
NEXT MOST RECENT EMPLOYER
Start Date:
End Date:
Name of Firm:
Address (Include City/State/Zip):
Phone # (include area code)
Immediate Supervisor's Name and Position:
Position Held:
Beginning Salary:
Ending Salary:
Duties Included:
Reason for Leaving:
REFERENCES: List persons who have known you well for at least 3 years.
1. Name and Occupation
Phone # (include area code)
City
Years Known		1 2 3 4 5+
2. Name and Occupation
Phone # (include area code)
City
Years Known		1 2 3 4 5+
3. Name and Occupation
Phone # (include area code)
City
Years Known		1 2 3 4 5
Please describe yourself in your own words. Consider the answer to such questions as: How do you perceive yourself? How do you think others perceive you? What's important to you? What motivates you?
Within the last ten years, have you been convicted of, pled guilty to, or received deferred adjudication for any crime other than a minor traffic violation?		Yes No
If yes, describe:
I understand that one of the conditions for working at the Josephine Street Cafe is that I must be able to work weekends and holidays. I also understand that should my availability to work weekends and holidays change, I may be terminated due to lack of work.
Initial:
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to Josephine Street Cafe rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or Josephine Street Cafe option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice at any time by the Josephine Street Cafe.
Initial: