BUFFALO BROTHERS - WAKE FOREST

Date *

MM
/
DD
/
YYYY
Name *
Prefix
First *
Last *
Suffix
MI
Middle
Phone

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Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Social Security # *
Email *

POSITION APPLYING FOR

Available Positions: FOH
 Host/Hostess 
 Busser/Utility 
 Wait Staff 
 Bartender 
Available Positions: BOH
 Line Cook (Grill, Saute, Plate Assembly, Salad/Dessert) 
 Dish Washer / Opening - Transitioning Station Prep Work 
How did you hear of this opening?

When can you start? *

MM
/
DD
/
YYYY
Desired Wage (training pay is minimum wage)
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You will be required to provide documentation.) *
 Yes 
 No 
Are you looking for full-time or part-time employment? *
 Full-time 
 Part-time 
What days of the week are you available?
Minimum 3 days per week & MUST be available on weekends.
*
Monday *
 Lunch 
 Dinner 
Tuesday *
 Lunch 
 Dinner 
Wednesday *
 Lunch 
 Dinner 
Thursday *
 Lunch 
 Dinner 
Friday *
 Lunch 
 Dinner 
Saturday *
 Lunch 
 Dinner 
Sunday *
 Lunch 
 Dinner 
Are you willing to work Holidays including Christmas Eve & New Years Eve?
 Yes 
 No 
Have you ever been convicted of a felony?
(This will not necessarily affect your application.)
*
 Yes 
 No 
If yes, please describe conditions.

EDUCATION

Please fill out the applicable sections.
Education: High School Name
School Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
High School
Year
Major
Degree
Education: College Name
College Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
College
Year
Major
Degree
Education: Post College Name
Post College Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Post College
Year
Major
Degree
Other Training Name
Other Training Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Other Training
Year
Major
Degree
In addition to your work history, are there other skills, qualifications, or experience that we should consider?

EMPLOYMENT HISTORY

Start with most recent employer.
Company Name
Company Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Company Phone

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Date Started
Date Ended
Starting Wage
Ending Wage
Starting Position
Name of Supervisor
May we contact?
 Yes 
 No 
Reason for leaving
Responsibilities

Company Name
Company Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Company Phone

###
-
###
-
####
Date Started
Date Ended
Starting Wage
Ending Wage
Starting Position
Name of Supervisor
May we contact?
 Yes 
 No 
Reason for leaving
Responsibilities

Company Name
Company Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Company Phone

###
-
###
-
####
Date Started
Date Ended
Starting Wage
Ending Wage
Starting Position
Name of Supervisor
May we contact?
 Yes 
 No 
Reason for leaving
Responsibilities

Attach additional information if necessary
(Resume, Serve-Safe Certificate, Responsible Vending Certificate etc.)
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing. Please initial below.