Name: Email address:

Social Security Number: Date Of Birth:

Present Address:

Phone Number:

Position Desired: Waiter Waitress Bar Tender Cook Clean up (Other)   Other:

Date you can start:

Days and times you can work:

Salary Desired:

Schools Attended, list the highest grade achieved and any trade schools you have attended.

Are you employed now? Yes No If yes, can we contact your current employer? Yes No

List the last three employers and the dates you worked and the reason you left:

Why do you want to work at FINS?

Enter any additional comments in the space provided below: