Employment

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a US Citizen *

yes

No

No, But I am authorized to work in the US

Have you worked for Gilligan's before? *

yes

No

have you ever been convicted of a felony? *

Yes

No

What position are you applying for? *

Please check all that apply

Server

Host

Busser

Dish Washer

Food Runner

Prep / Cook

Do you have a High School Diploma or GED?

Yes

No

Did you graduate from this school?

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you still employed with this company?

Yes

No

Date Hired

MM

DD

YYYY

Date Leaving

MM

DD

YYYY

Were you in the military>

Yes

No

How were you discharged?

Honorably

Something other than honorable

Name *

First Name

Last Name

Today's Date *

MM

DD

YYYY