Chrome Horse Saloon & Slop House

CHROME HORSE SALOON
Application for Employment

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Date:
Email Address:
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Telephone/Cell:
Position Applying For:
When Can You Start:
Desired Wages:
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basic? (You may be required to provide citizenship documentation.)	Yes No
Are you looking for full-time employment?	Yes No
If no, what hours are you available?
Have you ever been convicted of a felony? (This will not necessarily affect your application.)	Yes No
High School:
College:
Year:
Major:
Degree
Employment
Company Name:
Address:
Telephone:
Date Started:
Date Ended:
Name of Supervisor:
May We Contact:	Yes No
Responsibilities:
Reason For Leaving:
Employment
Company Name:
Address:
Telephone:
Date Started:
Date Ended:
Name of Supervisor:
May We Contact:	Yes No
Responsibilities:
Reason For Leaving:
Employment
Company Name:
Address:
Telephone:
Date Started:
Date Ended:
Name of Supervisor:
May We Contact:	Yes No
Responsibilities:
Reason For Leaving: