Company The Basics Your Personal Info * Date Address Address 2 City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone Email Month & Day (not year) of Birth Hometown Are You... Over 21? Yes No Authorized to work in the U.S.? Yes No Do You Have... Current T.A.B.C certification? Yes No Current Texas Food Handler's certification? Yes No Job Information Please list the position(s) you are interested in (e.g. Front of House, Back of House, Management, etc.) What store would you prefer to work at Dine In: 1415 S. Congress, Austin, TX Counter Service: 1421 S. Congress, Austin, TX Dine In: 501 East 53rd, Austin, TX Counter Service: 501 East 53rd, Austin, TX Counter Service: 3701 Travis St., Houston, TX No Preference Are you applying to work... Full Time Part Time Number of hours per week Are you willing to work... Evenings Weekends Date you can start working Education High School Location Field of Study Did you graduate? College / University Location Field of Study Did you graduate? Graduate School Location Field of Study Did you graduate? Other (Ex: Trade school, Apprenticeship) Location Field of Study Did you graduate? Tell us... How did you find out about Home Slice? If through a friend or family member of Home Slice, please give name and relationship Have you filled out a Home Slice application before? Yes No If so, when? What is your favorite restaurant? Why Please describe any experience you might have with a foreign language or foreign travel. Have you had experience or training specific to computers such as POS? Yes No If yes, please describe Employment History Employer Dates Employed Position Reason for Leaving Aspects you liked Aspects you didn’t like Employer Dates Employed Position Reason for Leaving Aspects you liked Aspects you didn’t like Employer Dates Employed Position Reason for Leaving Aspects you liked Aspects you didn’t like References Reference #1 Business you worked at together Title Enter a valid phone number Email Reference #2 Business you worked at together Title Enter a valid phone number Email Reference #3 Business you worked at together Title Enter a valid phone number Email Reference #4 Business you worked at together Title Enter a valid phone number Email Reference #5 Business you worked at together Title Enter a valid phone number Email
