Join the Raleigh crew What position are you applying for? * General Manager Assistant Manager Shift Lead BOH Staff Member FOH Staff Member When can you start? MM DD YYYY AVAILABILITY MONDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available TUESDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available WEDNESDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available THURSDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available FRIDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available SATURDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available SUNDAY Lunch and Dinner Shift Lunch Shift Dinner Shift Not Available Expected Wage ($ Per Hour) Describe any skills, experience, or training that is related to the position being applied for. * YOUR CONTACT INFORMATION * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### EMPLOYMENT HISTORY * Are you currently employed? Yes No Current Employer or Previous Employer A * City, State * Job Title * Date Hired From * MM DD YYYY To * MM DD YYYY Supervisor's Name * Reason for Leaving (if applicable) * EDUCATION * High School Community College/Trade School 4 yr College Other Name of School City, State of School PERSONAL REFERENCES First Name Last Name Relationship Phone (###) ### #### Were you referred to this job by a current employee? If so, who? First Name Last Name Are you eligible to work in the United States? Yes No INFORMATION AGREEMENT By submitting this form, I understand that any false answers or misrepresentations by omission made by me as part of my application will be sufficient for rejection or for my immediate discharge should one be discovered after I am employed. Thank you!