APPLICANT INFORMATION Name * First Name Last Name Birthday MM DD YYYY Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date Available Position Applied For * Bartender Security Kitchen Barback Desired Pay: Are you a citizen of the United States? Yes No If NO, are you authorized to work in the U.S.? Yes No Have you ever been convicted of a felony? Yes No SOCIAL MEDIA Facebook Instagram Other (tiktok, etc.) EDUCATION Highschool Years Attended Did you graduate? Yes No College Years Attended Did you graduate? Yes No Degree PREVIOUS EMPLOYMENT Company Address Phone (###) ### #### Name of Supervisor Job Title Starting & Ending Salary Responsibilities Start & End of Employment (MM/YY - MM/YY) Reason for leaving: May we contact your previous supervisor? Yes No Company Address Phone (###) ### #### Name of Supervisor Job Title Starting & Ending Salary Responsibilities Start & End of Employment (MM/YY - MM/YY) Reason for leaving: May we contact your previous supervisor? Yes No REFERENCES Full Name Relationship Company Phone (###) ### #### Address Full Name Relationship Company Phone (###) ### #### Address MILITARY SERVICE Branch Years of service (MM/YY - MM/YY) Rank at Discharge: Type of Discharge: If other than honorable, explain: YOUR SPACE Tell us about yourself! By clicking submit, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Thank you for applying to Crown & Common!We’re looking forward to reviewing your application!