Homestead Kitchen & Tap

Name*

First Middle Last

Phone Number*

Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you at least 18 years of age?*

Yes
No

If under 18, please list date of birth

Are you presently authorized to work in the U.S.?*

Yes
No

Have you ever been convicted of a felony?*

Yes
No

If yes, explain:*

Position

Position(s) applying for (select all that you are interested in):?*

Cook
Bartender
Waitstaff
Dishwasher

Would you be willing to cover a shift if a co-worker is unable to work?*

Wage desired (hourly)

Available Start Date?*

Provide days and hours available to work (be specific)

Thursdays:*

Yes
No

Time Available Thursday:

Fridays:*

Yes
No

Time Available Friday:

Saturdays:*

Yes
No

Time Available Saturday:

Sundays:*

Yes
No

Time Available Sunday:

Education:

Type of School*

Name of School*

Location*

Number of Years Completed*

Major or Degree*

Add more education?

Yes
No

Type of School

Name of School

Location

Number of Years Completed

Major or Degree

Employment History

Start with the most recent employer

EMPLOYER (#1)

Dates Employed (From/To)

What was your position and some some of your responsibilities?

If no longer employed there, please provide reason:

May We Contact this employer?

Yes
No

Telephone Number

EMPLOYER (#2)

Dates Employed (From/To)

What was your position and some of your responsibilities?

If no longer employed there, please provide reason:

May we contact this employer?

Yes
No

Telephone Number

EMPLOYER (#3)

Dates Employed (From/To)

What was your position and some of your responsibilities?

If no longer employed there, please provide reason:

May we contact this employer?

Yes
No

Telephone Number

Who do you know that works throughout our Ebert Family of Businesses (Ebert Enterprises, Salmon’s Meat Products and Homestead Kitchen & Tap)?

Why do you want to work at Homestead Kitchen & Tap?

Upload Resume (optional)

Drop files here or

Digital Signature

By signing this application, I declare that the information provided by me is complete and true to the best of my knowledge. I understand that any misrepresentation or omission on this application may preclude an offer of employment or may result in a withdrawal of an employment offer or may result in my discharge of employment if I am already employed at the time of misrepresentation or omission is discovered. I understand that nothing in this application or subsequent interview constitutes a contract of employment and that my employment with this company, if so hired, would be 'at will' and thus the company may, just as I may, terminate my employment at any time, with or without cause or notice.

Name (Digital Signature)

Date

Apply

Position

Education:

Employment History

Digital Signature