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Title: Host/Hostess

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Personal Details

First Name *
Last Name *
Date *

Contact Details

Email Address *
Street Address *
City *
State *
Zip code *
Phone *


Date Available *
Desired Salary *
Position Applying For *
Are you a U.S. citizen? * Yes
If no, are you authorized to work in the U.S.? Yes
Are you over 21? * Yes
Have you ever been convicted of a felony? * Yes
If yes, please explain


High School
Date range you attended
Did you graduate? Yes
Date range you attended
Did you graduate? Yes
Other schooling or training

Previous Employment

Company *
Phone *
Address *
Supervisor *
Job Title
Starting Salary
Ending Salary
Responsibilities *
From *
To *
Reason for leaving *
May we contact your previous supervisor for a reference? * Yes

Disclaimer & Signature

By checking this box I certify that all my answers are true and complete to the best of my knowledge and that if this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. * Yes
Please give us an idea of days and times you are available to work. *

51 Town Square Wheaton, IL | 630.462.5126