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Age *

• Under 16 (no positions available)
• 16-17
• 18 or older

Some positions have legal age restrictions

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

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Zip Code

Available Start Date *

(16-17) a been

Are you authorized to work and remain in the United States? *

• Yes
• No

Have you ever been convicted of a felony? *

• Yes
• No

Year of Highschool GradutionDid Not Graduate20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002 or earlier

Do you have your GED?

Work Availability *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• Sunday

Position (18+) *

• Cashier/Host
• Server
• Bartender
• Dishwasher
• Line Cook
• Prep Cook
• Shift Manager

Position (16-17) *

• Cashier/Host
• Busser/Dishwasher

Work History

Employer Name

Employers Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Employers Phone

Start Date

End Date

Reason for Leaving

Can we contact them?

• Yes
• No - Do not contact

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Prefer to apply in person? Come see us at 390 East I-45, Fairfield, TX during business hours.