The Lodge | Hickory, Maryland Restaurant and bar

Referred By

Applicant Information

Last Name

First Name

M.I.

Birth Date

Phone

Your Email

Street

City

State

Zip

Desired Position

Desired Pay Range

Available Start Date

Are You Currently Employed? Yes No

Do you need time off & when?

General Info

Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the desired position above.

Do you smoke? Yes No

If you do smoke do you have a problem going a shift without smoking? Yes No

Do you have a vehicle? Yes No

If you don't have a vehicle how do you plan on getting to & from work?

What was your favorite & least favorite thing about your last job?

Describe your favorite menu items & favorite drink from your last job.

Education

High School

Address

Did you graduate? Yes No

Degree

Major / Subjects

College

Address

Did you graduate? Yes No

Degree

Major / Subjects

Other

Address

Did you graduate? Yes No

Degree

Major / Subjects

Most Recent Employers

Employer

Dates of Employment

Salary

Position

Reason for Leaving

Employer

Dates of Employment

Salary

Position

Reason for Leaving

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