Come join our team!!! Date * Please be sure to fill in all required fields, if not applicable please enter N/A. MM DD YYYY Full Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * # of Years of Bartending Experience * Date of Birth * MM DD YYYY Available Start Date: * MM DD YYYY Position Applying For: Are you a U.S. Citizen? * YES NO If no, are you authorized to work in the U.S.? YES NO Do you currently have a certified ServSafe Alcohol Certificate? * YES NO If yes, Expiration date? MM DD YYYY Do you currently have a certified ServSafe Food Handler Certificate? YES NO If YES, Expiration date? MM DD YYYY Have you ever been convicted of a felony? * YES NO If yes, explain? Do you own a vehicle? YES NO Do you have a valid driver’s license? YES NO Education Do you have a high school diploma/GED? * YES NO Do you have a college degree(s)? YES NO List major(s): List any other educational certificates: CURRENT EMPLOYER Company * Current Employer Phone * (###) ### #### Supervisor's Name First Name Last Name Your current Job Title * Supervisor's Email Current job start date MM DD YYYY Work Schedule * Please enter your typical days of work and hours. If on call or have a sporadic schedule, note ON CALL and any additional details such as day/night shifts etc. LAST EMPLOYER Last Employer Company * Last Employer Phone * (###) ### #### Last Employer Supervisor's Name First Name Last Name Last Employer Email From * MM DD YYYY To * MM DD YYYY Job title List any related experience in bartending, Serving, and Attendant assignments. * REFERENCES Reference #1 Full Name * First Name Last Name Reference #1 Relationship * Reference #1 Email Reference #1 Phone * (###) ### #### Reference #2 Full Name * First Name Last Name Reference #2 Relationshiop * Reference #2 Email Reference #2 Phone * (###) ### #### Reference #3 Full Name First Name Last Name Reference #3 Relationship Reference #3 Email Reference #3 Phone (###) ### #### LIST ANY PERSONAL HOBBIES OR ADDITIONAL INFO YOU WOULD LIKE TO ADD List them here Disclaimer and signature * I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in non-consideration for employment with Liquid Roses, LLC. E-Signature (click here) Date * Note: Please allow up to 48 hours to receive a reply from a Liquid Roses Team member. MM DD YYYY Thank you!