Email:

Name:

Phone Number:

Position Interested In: Position Interested In: Server Bartender Kitchen Help Cook Dishwasher Host/Hostess

Complete Address:

Are You A U.S. Citizen: Are You A U.S. Citizen: Yes No

Date of Birth:

Date Available:

Have You Ever Worked for the Mail Pouch Saloon: Have You Ever Worked for the Mail Pouch Saloon: Yes No

What Dates Did You Work For Mail Pouch Saloon:

Highschool (Name, Address, Year Graduated):

Highschool (Name, Address, Year Graduated):

Reference 1 (Name, Phone, Relationship):

Reference 2 (Name, Phone, Relationship):

Previous Employment - Company - Name, Phone, Position:

New Field