about you

Which employment position(s) are you applying for?
 Management Bartender Server Bar Back Cook Dishwasher Security

First Name

Last Name

Street address

PO BOX / RR#

City

Postcode

Province / State

Home Phone Number

Work Phone Number

Cell Phone

Email Address

Are you associated with anyone at C & A Steak Company?
If Yes, Who?
 Yes No

Do you have reliable transportation?
 Yes No
Are you eligible to serve alcohol?
 Yes No

Smartserve Number

Are you currently employed?
If so, where?
 Yes No

Can we contact your employer?
 Yes No

If so, what's the phone number and who do we speak to?

What date can you start with us?

Most recent employment?

Company Name.

Dates of employment?(Start mm/yy to end mm/yy)
-

Your job title?

Description of your duties?

Reference name and contact number

Second most recent employment?

Company Name.

Dates of employment?(Start mm/yy to end mm/yy)
-

Your job title?

Description of your duties?

Reference name and contact number

Third most recent employment?

Company Name.

Dates of employment?(Start mm/yy to end mm/yy)
-

Your job title?

Description of your duties?

Reference name and contact number

Fourth most recent employment?

Company Name.

Dates of employment?(Start mm/yy to end mm/yy)
-

Your job title?

Description of your duties?

Reference name and contact number

By submitting this application, I authorise investigation of all statements contained in the application. I understand that misrepresentation or omission of facts is cause for immediate dismissal. Further, I understand and agree that my employment is for no definite period of time.

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