Application for EmploymentPosition You Are Applying For*ServerLine CookBaristaDishwasherHostApplicant InformationAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name* First Last Phone*Email* Type of Employment Desired* Full-Time Part-TimeDate Available to Start* Month Day YearDesired Wage*Referral Source (How did you hear about us?)*Days/Hours Available*Number of Hours Desired*All positions at Architectural Justice Gallery + CafĂ© may be required to serve alcoholic beverages at any given time, and must be 21 years of age or older. Do you meet this requirement?* Yes NoAre you legally authorized to work in the United States?* Yes NoHave you ever pled "guilty" or "no-contest" to, or been convicted of a crime?* Yes NoIf yes, please explainEducationSchool (include City/State)*Years Completed*Completed Diploma Degree Certificate GED OtherMajor/MinorSchool (include City/State)Years CompletedCompleted Diploma Degree Certificate GED OtherMajor/MinorEmployment HistoryCurrent/Most Recent Employer*Employer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Job Title*Pay Rate*Dates Employed*Reason for Leaving*Supervisor Name/Title*May we contact for reference?* Yes NoSummarize the duties performed and job responsibilities*What did you like most about your position?*What were things you disliked about the position?*Previous EmployerEmployer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneJob TitlePay RateDates EmployedReason for LeavingSupervisor Name/TitleMay we contact for reference? Yes NoSummarize the duties performed and job responsibilitiesWhat did you like most about your position?What were things you disliked about the position?Skills and QualificationsSummarize any special training skills, licenses and/or certificates that may assist you in performing the position for which you are applying.*ReferencesReference 1*TelephoneRelationship to YouYears KnownReference 2TelephoneRelationship to YouYears KnownReference 3TelephoneRelationship to YouYears KnownApplicant StatementI certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and nonÂdefamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.* I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.Please upload a cover letter telling us more about you and your interests. Resumes are also helpful but not mandatory. Drop files here or Select filesMax. file size: 256 MB. Δ