Thank you for your interest in Sullivan's Eatery & creamery. Please complete the job application below. We look forward to reviewing your application, and will be contacting you if shortlisted for an interview

Personal Information

Last Name
First Name
Primary Phone
Secondary Phone
Street Address

Are you legally entitled to work in the United States? Yes No

Are you 16 or older? Yes No

Have you been convicted of a felony or been incarverated in connection with a felony in the past seven years? Yes No

If yes please explain

What position are you applying for?

Expected hourly rate

Date available to start?

How did you hear about this position?

Expected weekly earning?

Please Check (X) the shifts you are available to work (hours may vary):
Avalibality Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Open (10am - 12pm)
Lunch (12pm - 5pm)
Dinner (5pm - 8pm)
Close (8pm - 10pm)
Prior Work Experience
Current or Most Recent prior prior
City, State
Name of Immediate Supervisor
Dates of Employment To To To
Position/Job Title
Reason for Leaving
May We Contact           Yes No           Yes No           Yes No
Name Phone Number Relation Years Know
Name/Location Last Year Complete Degree
High School
List any applicable special skills, training or proficiencies.

Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

Full Name Date

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