3 Forrest Ave, Cocoa FL 32922

Personal Info


Date *

Telephone *

Social Security

Pay Expected *

Candidate *


Email ID

Address


Have you ever applied for employment with us?

Choose Yes Or No  

If yes, What is month?

And year?


Position desired *


Have you been convicted of any crimes in the past ten years, excluding misdemeanors and summary offences, which have not been annulled, expunged, or sealed by court?    


If Yes, Please describe below

Other special training of skills


Education Info


Name, Location, and Highest Level of School/College:


Did you graduate?  


Employment Info

Please give accurate, complete full-time and part-time employment record. Start with you present or most resent employer.





Dates of Employment

Employed From

Employed To


Job Title and Description of Work

Reason for Leaving





Dates of Employment

Employed From

Employed To


Job Title and Description of Work

Reason for Leaving

Employer Number - Reason

Note: We may contact the employers listed above unless you indicate those you do not want us to contact.

Upload Resume, If available


Additional Info

Membership in professional and civic organizations, special accomplishments, awards, etc.


Applicants Signature

The information I have provided in this Application of Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorized the employer to contact and obtain information about me from previous employers, educational institutions, and educational institutions and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations, or organizations who provided information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new one.

This application is not an employment agreement. If I accept an offer of employment I understand the employer may terminate my employment at any time, with or without prior notice, unless required by law. I understand that no one, other than my executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

Applicant's Signature: I fully understand and accept all terms and conditions in the above statement.    


Some Fun Facts Stats

1 Served Drinks
1 Total Orders
1 Hours Spent
1 Happy Customers