Name

City, State

Email

Phone Number

Position(s) Applied ForParty HostServerBartenderDishwasherPrep CookLine CookPizza MakerGame TechnicianLane AttendantRedemption AttendantJanitorialRestaurant Host/HostessGuest ServiceAxe Throwing CoachPhone OperatorAny Available Position

Are You At Least 18 Years Old? YesNo

If No, Can You Furnish A Work Permit? YesNo

Are you currently in school? YesNo

If yes which school?

Are you legally eligible for employment in the U.S.? YesNo

Are You Seeking: Full TimePart TimeTemporary

Are You Currently Employed? YesNo

If Hired, When Are You Available To Start?

List Any Friends Or Relatives Employed By Lefty's