Job Application New

							                              Application for Employment
                                                                 Supervisor:__________
Date: _____________                            Phone #: ______________________
Name: ___________/__________________           Address: ______________________
Date of Birth: ________________                       ________________________
Permanent Address: _______________________________________________________
(Where you want your W-2 sent.)
Email: ____________________________________
Education:
      High School: ______________________________Year Graduated: ___________
      College: _________________________ Major: ___________Year: ___________
      Other: ____________________________________________________________
References:
      Last Job: ___________________________ Address: ______________________
      Position: ___________________________          ________________________
                   From: _________ To: ________ Phone #: ___________________
                   Reason For Leaving: ____________________________________
Personal References:
      Name: _____________________________ Phone #: ______________________
      Name: _____________________________ Phone #: ______________________

Availability: – Indicate with an “X” when you CAN’T work.
             MON.          TUES.      WED.     THUR.      FRI.          SAT.   SUN.
9:00a-11a

11a-2p

2p-4p

4p-9p

9p-3a


                  Please list all other times you will be absent from work.

Personal Vacation                          From: ___________ To: __________
Internship Dates                           From: ___________ To: __________
Other Jobs                                 From: ___________ To: __________
Other Commitments                          From: ___________ To: __________
Do you have any restrictions that would interfere with your work and make you incapable of
performing your job at an optimal level?
       Yes: __________ No: ___________
If Yes, explain:
___________________________________________________________________


What job are you applying for? Bouncer ____Grill ____Wait____
How many hours per week do you wish to work? 10-15 15-20 20-25 30+
When are you looking to work? Daytime____ Evenings_____ Late Nite_____
When will you be available the most? Circle: Weekday Weekend Both
What date are you able to start? ___________________________________

Please answer the following questions about your availability:

      1. Do you or plan to own football season tickets?               YES NO
      2. Do you or plan to own hockey season tickets?                 YES NO
      3. Do you or plan to own basketball season tickets?             YES NO
      4. Do you live in a building that closes for holidays?          YES NO
      5. Do you plan on graduating in May?                            YES NO
      6. Are you willing to work AT LEAST one night
         (either Friday or Saturday) for Halloween weekend?           YES NO
      7. Do you have a lease signed for the upcoming year?            YES NO
      8. Do you plan on leaving Madison for the summer?               YES NO
      9. Do you plan on leaving Madison for Winter Break?             YES NO

***If answering the questions above limits your availability to work at State Street Brats, this is
likely not the job for you. We are a special event driven business. You will have to work when
many others do not. You will have to work late nights. You will have to work some holidays. You
will work weekends. Please take this into consideration while applying for employment at State
Street Brats.

*** All employees start on grill, door, or waitstaff! Your advancement is based on merit, not on
longevity. We do not hire bartenders or managers.

I have filled out this application to the best of my ability. Any misrepresentation or omission of
facts on this application or during an interview is grounds for dismissal. If hired, I will agree to
abide by the policies and directives given to me.

Date: ____________         Signature: ___________________________