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Phone:
*
Email:
*
Preferred Location
*
Ada
Downtown GR
Downtown Market
Loft at Luna
Any
Position applying for:
*
Back of House - Cook
Back of House - Support
Bartender
Front of House - Host
Front of House - Support Staff
Server (Experience required)
Management (experience required)
How many hours a week do you want to work:
*
Hours available to work:
*
Why do you want to work at Luna?
*
Describe the biggest work-related problem you have experienced. How'd you deal with it?
*
What's your ideal work schedule? What's your ideal work-life balance?
*
Rate of pay desired:
*
Date available to start working:
*
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Have you ever been arrested?
*
Yes
No
If yes, please explain (a conviction will not automatically bar employment):
Educational History
List school name and location, year graduated and any degrees earned.
High School:
*
College:
Technical Training:
Other:
Employment History
Feel free to upload your resume instead of filling out the forms below.
Upload your resume here:
Max. file size: 128 MB.
Please provide all employment information for your past three employers starting with the most recent:
Employer Name:
Phone:
City:
Immediate Supervisor:
Salary:
Position Held:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Job Summary:
Reason for leaving:
Employer Name:
Phone:
City:
Immediate Supervisor:
Salary:
Position Held:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Job Summary:
Reason for leaving:
Employer Name:
Phone:
City:
Immediate Supervisor:
Salary:
Position Held:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Job Summary:
Reason for leaving:
References
List three references (do not include relatives or employers):
Name:
Phone:
Name:
Phone:
Name:
Phone:
Authorization
I hereby authorize Luna to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability Luna and its representatives for seeking, gathering and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or contract for employment. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. I also understand that if I am employed, I will be required to provide satisfactory identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.
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