Name*: 

          Are you 18 or older?*: 

 Yes   No

                       Address*:

                          City*:

                           Zip*: 

                     Phone no.*:

                         Email*:

           Education completed*:

- please select -8th GradeHigh SchoolCollege

                  Present grade: 

            Present school name: 

         Present school address: 

                  Parents' name: 

               Parents' address: 

                 Parents' phone: 

                 Job preferred*:

- please select -KitchenWaitressHostessBartenderJanitorOther

     If "Other," please specify: 

               Shift preferred*: 

- please select -7:00 am - 3:00 pm3:00 pm - 11:00 pmEitherOther

     If "Other," please specify: 

 How many days / week would you
                  like to work?: 

          When could you start?: 

           Have you worked in a
            restaurant before?*: 

 Yes   No

                What position?: 

List any acquaintances presently 
    or formerly employed by the
      Colony Village Restaurant: 

   Will you be attending school
                  in the Fall?*: 

 Yes   No

             Date School Begins: 

                    School Name: 

                 School Address: 

       Indicate Work Preference
                  During School: 

- please select -Weekdays after schoolWeekendsVacationsNot Applicable

  How many miles from your home
        to the Colony Village?*: 

The following pertains to your last two places of employment.

Previous Employer 1* Name:

Employer 1* Address:

Date Started / Date Left:

 / 

Reason for Leaving:

Describe Work Performed:

Previous Employer 2 Name*:

Employer 2* Address:

Date Started / Date Left:

 / 

Reason for Leaving:

Describe Work Performed:

Please provide two references:

Reference 1 Name:

Reference 1 Address:

Reference 1 Phone:

Reference 2 Name:

Reference 2 Address:

Reference 2 Phone:

By submitting this application, I certify that I have read and 
understand the following:

If I am hired by the Colony Village restaurant, I understand that work
on Saturday and Sunday will be involved and that my duties could
involve working wherever I am asked to help, anytime I am working.
I agree to work extra weekend days during holidays, football games,
reservations and other special events. I understand that I am expected
to provide two (2) weeks notice before leaving the employment of
the Colony Village.