EMPLOYMENT APPLICATION (Victoria Burrow) Pre-employment Questionnaire - We are an Equal Opportunity Employer Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Are you over the age of 18? (required) Yes No Date first available What positions are you applying for? Axe Chuckers ($14/hour + tips) Bar ($14/hour + tips) Cashier ($12/hour + tips) Line Cook ($20/hour) Dishwasher/Prep Cook ($16/hour) Host ($12/hour) Manager ($40K annual salary minimum) Facility/Runner ($12/hour + tips) Are you currently employed? Yes No If yes, can we contact your current employer? Yes No Are you being referred by anyone at The Burrow? Yes No If yes, who referred you? Please list your previous work experience Please let us know your availability. Check all the boxes that you are able to work. Monday AM shifts (10am to 4pm) Monday PM shifts (4pm to close) Tuesday AM shifts (10am to 4pm) Tuesday PM shifts (4pm to close) Wednesday AM shifts (10am to 4pm) Wednesday PM shifts (4pm to close) Thursday AM shifts (10am to 4pm) Thursday PM shifts (4pm to close) Friday AM shifts (10am to 4pm) Friday PM shifts (4pm to close) Saturday AM shifts (10am to 4pm) Saturday PM shifts (4pm to close) Sunday AM shifts (10am to 4pm) Sunday PM shifts (4pm to close) Thank you!
