Dry Dock Waterfront Grill Employment Form Want to join the team at Dry Dock Waterfront Grill? We strive to bring together caring, warm, fun, intelligent people who love to serve! NOTICE: Applicant should read the following information carefully before filing out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statutes. Information requested on this application will not be used for any purpose prohibited by law. A job description your position will be made available and is incorporated herein. ALL FIELDS ARE REQUIRED – Social Security Number will be required before employment can begin. First Name Middle Name Last Name Address City AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Phone Number How long have you lived at the above address? Are you 18 years old or older? Yes No If not, state date of birth Have you used any other legal names in the last 10 years? Yes No Previous Name Are you authorized to work in the U.S.? Yes No Have you ever been convicted of a felony? (Answering “Yes” does not automatically disqualify you from consideration for this position.) Yes No Position applied for: Date you can start: Are you applying for: Full Time Part Time Days Only Nights Only Days/Nights Who recommended you for this position? EDUCATION High School Yes No Name & Address of High School Grade or Degree Completed Graduate Yes No College or University Yes No Name & Address of College or University Grade or Degree Completed Graduate Yes No Others (Specify) Grade or Degree Completed Graduate Yes No Certifications/Licenses Please indicate experience/skills you have in the hospitality industry: Bartender Server To Go Counter Line Cook Chef Dishwasher Vegetable Prep Salad Bus Person Pastry Cook Sandwiches Manager Sous Chef Prep Cook Pantry PREVIOUS HOSPITALITY INDUSTRY EXPERIENCE Please provide us with your last three employers by clicking the drop downs below. 1 – Employment History Click above arrow to fill in information. Fill in your last company first. Company Name Phone Number Address City AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Your Position Immediate Supervisor Title Date Started Salary Date Left Salary Reason for Leaving: Job Duties 2 – Employment History Click above arrow to fill in information. Company Name Phone Number Address City AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Your Position Immediate Supervisor Title Date Started Salary Date Left Salary Reason for Leaving: Job Duties 3 – Employment History Click above arrow to fill in information. Company Name Phone Number Address City AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Your Position Immediate Supervisor Title Date Started Salary Date Left Salary Reason for Leaving: Job Duties Do you require any accommodations to perform the physical or mental demands of the position you are seeking? Yes No Please provide a summary of the accommodations requested: Have you ever applied to this company before? Yes No Where? When? Are you currently employed? Yes No Where? In Case of Emergency Notify: Name Phone Number Relationship Address City AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal 1. Dry Dock Waterfront Grill maintains a safe and drug free environment for all its team members. As a condition of your employment, you may be required to participate in drug testing consistent with Florida law. Dry Dock Waterfront Grill reserves the right to deny employment to any applicant who tests positive for drugs. 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the foregoing inquiries and my ability to meet the minimum requirements of the job description. I have read these statements and answers to these inquiries. Yes No Date Signature Type out your name as your digital signature. reCAPTCHA
