Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Days available

monday

tuesday

wednesday

thursday

friday

saturday

sunday

Phone *

(###)

###

####

Are you a citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (YOU may be required to provide documentation.) *

Yes

No

Are you of legal age to serve alcoholic beverages? *

Yes

No

Can you provide proof within 3 days, if hired? *

Yes

No

Do you currently have an ABC Card (For Bartenders & Servers) *

Yes

No

criminal history *

Have you ever been convicted of any criminal offense other than minor traffic violation within the last 10 years?

yes

NO

please read before submitting *

I certify that the information given herein is true and complete to the best of my knowledge. I authorize MINERVA AVENUE to investigate any information, including my employment history, education background, credit history and record of criminal convictions that it believes is relevant to my employment application. My current and former employers, education institutions and personal references may provide information that they may have about me in response to inquiry from the employer. I may understand that omitting immaterial fact and/or providing false or misleading information or misrepresentation in my applications, resume or during the interview process may result in a refusal to hire, or discharge in the event of employment. I understand that I shall be required to provide documentation establishing my legal authorization for employment with the first three days of my employment. I understand that if I am employed, my employment will be at will and I will not have guarantee of employment for any specific period unless otherwise provide in a written employment agreement signed by the Company Owner and me. The MINVERA AVENUE is an EOE, and shall treat all employees and all applicants for employment equally and fairly based upon related qualifications and in accordance with all applicable local, state, and federal laws.

YES

NO