Name
Email
Phone
Address
What position are you applying for?
Hookah Curator/Host
Hookah Curator/Host
What date are you able to start work?
Are you over the age of 21?
Yes
No
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)
Yes
No
If yes, explain:
What is your current employment status?
Employed
Self-Employed
Unemployed
Student
WORK HISTORY 1:
Name of Company & Job Title
Start with your present or most recent employment and work back.
Start Date & End Date:
Reason for leaving:
WORK HISTORY 2:
Name of Company & Job Title
Start with your present or most recent employment and work back.
Start Date & End Date:
Reason for leaving:
WORK HISTORY 3:
Name of Company & Job Title
Start with your present or most recent employment and work back.
Start Date & End Date:
Reason for leaving:
REFERENCES:
Please list three professional references not related to you, with full name, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.
Please upload your resume here if you have one.
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