Job Application Form Please complete this form to submit your application - note that your application will not be submitted until you click the “Submit” button at the end of this form. We look forward to reviewing your application. Question Title * 1. Personal Information: First Name Last Name City and State Email Address Phone Number Question Title * 2. Which position are you applying for? Server (must be 18 y.o or older) Line Cook (must be 17 y.o. or older) Prep Cook (must be 16 y.o. or older) Host Dishwasher Kitchen Manager Floor Manager Other (please specify) Question Title * 3. Select the best time for you to work. Lunch Shift (10AM - 4PM) Evening Shift (4PM - 10PM) Available Any Shift Question Title * 4. Are you legally authorized to work in the United States? Yes No Question Title * 5. Are you willing to relocate for this position? Yes No Question Title * 6. Enter your past education and training(School name, Start/End Date, Graduation/Graduation Date) Question Title * 7. Enter your previous work history (Company name, Start/End Date, Pay rate, Reason for leaving) Question Title * 8. Enter three references from past employers with telephone numbers. Question Title * 9. Tell us why you would be a great candidate for KirbyG's Diner. Question Title * 10. Select the best time for you to interview Monday 2-3 Monday 3-4 Tuesday 12-1 Tuesday 1-2 Weds 11-12 Weds 12-1 Thursday 3-4 Thursday 4-5 Other (please specify) Question Title * 11. Upload your resume (optional) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload your resume (optional) Question Title * 12. Upload your cover letter (Optional) DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Upload your cover letter (Optional) Question Title * 13. Additional links (Optional) LinkedIn profile UR Your personal website or blog URL Facebook page Instagram page Question Title * 14. How did you hear about this position? Company website Job searching website (e.g. LinkedIn, Indeed, Glassdoor) Friend/family/colleague Campus recruitment Recruiting firm Other (please specify) Submit