(937) 696-5033

We are accepting applications for Line Cook, Bartender, Server and Hostess. Please, fill out our application and we look forward to talking to you soon.

Application

Position Applying For

Name (last, first)

Street Address

City

State

Zip Code

Phone Number

Alternate Phone Number

Email Address

Confirm Email Address

Are you able to perform the essential functions of the position with or without accommodations?
YesNo

Are you older than 19?
YesNo

I am eligible for employment in the U.S.
YesNo

I am seeking a permanent position:
YesNo

How many days after offered a position would you be able to start?

I am able to work the following shifts: (check all that apply)
AnyDayNight

 

Employment History

List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section. No more than 10 years history is recommended.

Employer

Address

City

State

Zip Code

Position title/duties, skills

Supervisor

Phone Number

Start date

End date

Reason for leaving

 

Employer

Address

City

State

Zip Code

Position title/duties, skills

Supervisor

Phone Number

Start date

End date

Reason for leaving

 

Employer

Address

City

State

Zip Code

Position title/duties, skills

Supervisor

Phone Number

Start date

End date

Reason for leaving

 

Information to the Applicant

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references

If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

Signature

Equal Opportunity Opportunity While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

Address

42 E. Center Street Farmersville, Ohio 45327

Kitchen Hours

Tuesday-Thursday: 11:30 am to 10:00 pm
Friday-Saturday: 11:30 am to 11:00 pm
Sunday: 11:30 am - 10:00 pm