APPLY FOR A JOB

Please right click, copy, paste and print this form then mail or bring by the Office Lounge. fill Out completely. If you wish you may stop by and pick up an application . We are a smoking environement and sell liquor so you must be 21 to apply!

THE OFFICE LOUNGE

82 Federal Drive (off Carriage House)

Employment Application

POSITION APPLIED FOR

DATE APPLICATION TURNED IN

Thank you for your interest in the Office Lounge as an employer. Only final candidates for posted openings will

be contacted personally by the bar.

GENERAL INFORMATION
^{Name (last, first, middle initial)}^{Social Security No. (Optional)}
^{Street Address City, State, Zip}
^{Home Phone No. Work Phone No. Message Phone No.}
^{Are you authorized to work in the United States? Proof of Authorization will be required post hire. (CIRCLE ONE)} ^Yes^No
TRAINING AND EDUCATION
Circle highest grade completed: 8 9 10 11 12 GED
^{Colleges/other training}		^{Major/subject}		^{Degree/certificates}


ADDITIONAL SKILLS Describe skills relevant to the job for which you are applying
SKILL	TYPE OF EXPERIENCE					LEVEL OF EXPERTISE
Bar
Grill
Service
Other
Can you perform the essential functions of the job with or without reasonable accommodation? Yes No
BACKGROUND INFORMATION
each case is considered separately based on job duties and performance areas
Do you have a valid Tennessee Driver's License? Yes No Other State _____________
(do you have or have you had an ABC Card?
Have you been convicted of a felony or served time in prison within the last ten (10) years? Yes No Conviction will not necessarily bar you from employment. If yes, please explain:
How/where did you hear about the position for which you are applying? (Check one)
______ Friend or relative			______ Web		______ Employment Security
______ Newspaper ad Which?__________________________			______ job bulletin
______ Other please specify ______________________________

	EMPLOYMENT HISTORY
	Beginning with your present or most recent employment, list your employment history. Include self-employment, military service, volunteer experience and periods of unemployment. The following sections MUST be completed even if a resume is submitted.
	Employer				Employed from:					To:
	Address:				Supervisor
	Phone	Hours worked/week					Starting salary
	Position					Last salary
	_{Primary duties}
	Number of employees supervised by you		May we contact this employer					Supervisor's phone
	Reason for leaving
	Employer				Employed from:					To:
	Address:				Supervisor
	Phone	Hours worked/week					Starting salary
	Position					Last salary
	_{Primary duties}
	Number of employees supervised by you		May we contact this employer					Supervisor's phone
	Reason for leaving
	Employer				Employed from:					To:
	Address:				Supervisor
	Phone	Hours worked/week					Starting salary
	Position					Last salary

	_{Primary duties}
	Number of employees supervised by you		May we contact this employer					Supervisor's phone
	Reason for leaving
	Employer				Employed from:					To:
	Address:				Supervisor
	Phone	Hours worked/week					Starting salary
	Position					Last salary
	_{Primary duties}
	Number of employees supervised by you		May we contact this employer					Supervisor's phone
	Reason for leaving
PROFESSIONAL REFERENCES				Please list below any people in addition to supervisors listed above who can responsibly evaluate your work performance

	Name		Place of employment/title						Phone

It is understood and agreed that the foregoing is true to the best of my knowledge, and that my falsification of this application will be grounds for elimination from further consideration or, if employed by the Office, for dismissal. I authorize the Office Lounge to solicit information regarding my character, general reputation, credit, previous employment, and similar background information, and to contact any and all references I have given on my application. I release all parties and persons connected with any such request for information from all claims, liabilities, and damages that may arise out of the furnishing of such information. If employed, I release the Office from any liability for future references it may provide regarding my work history at the firm.

I understand that employment with the Employer is “at-will”, which means that either the Office or I can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager or executive of the Office has any authority to alter the foregoing.

Applicant's signature____________________________________________________ Date____________________________

Hours available to work; Please list availability and any conflicts:

DAY

MON

TUES

WED

THURS

FRI

SAT

SUN

HOURS

AVAILABLE