Cornerstone Cafe Employment Form

Today's Date

Name
    (Last First Middle)

Your Address:
Street
City State Zip

Email

Home Phone Number  Cell Phone Number

When is the best time to call?

Are you 18 years or older? Yes No

Are you prevented from lawful employment in this country because of visa or immigration status? Yes No

Are you employed now? Yes No

What position are you applying for? Select A Position Waitress/Waiter Dishwasher Cook

What specific skills or job experience do you have that quality you for this position?

We are open Mon – Fri 6:30 AM – 7:30 PM and Sat & Sun 6:30 AM – 2:30 PM

What hours are you available to work?

Are you available to work all three shifts? Yes No

Are you available to work Saturday & Sunday? Yes No

Please list your previous two employers and the dates which you worked for them:
Name of Employer From To
Name of Employer From To

Thank you very much for your interest in working for our company! Please note that if you are scheduled for an interview we will require (3) three personal references with phone numbers at that time.