EMPLOYMENT APPLICATION
 - EQUAL OPPORTUNITY EMPLOYER -

Personal Information:
First Name:

Last Name:

Middle:

 
Home Phone:

Cell Phone:

Emergency Phone:

 Address:

Address2:

City:

State:

Zip:



Email:
 

Position:
Position for which you are applying:
Date available for work:
,

Check the following options you would consider:
Full Time   Part Time   Temporary   Summer  

Have you ever worked for The Lorelei?
Yes     No
If you answered "Yes" above:
When:
 Which Department:
 

General Information:
How did you learn about The Lorelei?
Advertisement   Web Site/Internet   Walk-in   Other  

Referred by Lorelei employee:

Can you, after employment, submit verification of your legal right to work permanently in the U.S.?
Yes     No

Are you 16 years old or over?
Yes     No

Are you 21 years old or over?
Yes     No
 

Have you ever been convicted or placed on deferred adjudication for any misdemeanor or felony offense in the last seven years? (Criminal convictions are not an automatic bar to employment but will only be considered in relation to specific job requirements)
Yes     No
If "Yes", Explain:

Can you perform the essential functions of the job?
Yes     No
 

Education and Training:
  Name and Address of School Degree/Major/Course of Study
High School
College
Graduate School
Trade school

List any other education, training, special skills or certificates/licenses that you possess related to the job:

List any machines or equipment on which you are qualified and experienced in operating:

List any languages that you fluently speak:
Read/write:
 

Employment History:

List all experience beginning with the present or most recent job.

Employer 1.
Name of Employer:

Type of Business:

Dates Employed:
from: to:
Your Title:
 Address:

Address2:

City:

State:

Zip:
Supervisor Name and Title:
  
Phone:
  

May we contact?
Yes     No

Employment was
Full Time     Part Time

Brief description of duties:
Reason for leaving:
 Last salary:
 

Employer 2.
Name of Employer:

Type of Business:

Dates Employed:
from: to:
Your Title:
 Address:

Address2:

City:

State:

Zip:
Supervisor Name and Title:
  
Phone:
  

May we contact?
Yes     No

Employment was
Full Time     Part Time

Brief description of duties:
Reason for leaving:
 Last salary:
 

Employer 3.
Name of Employer:

Type of Business:

Dates Employed:
from: to:
Your Title:
 Address:

Address2:

City:

State:

Zip:
Supervisor Name and Title:
  
Phone:
  

May we contact?
Yes     No

Employment was
Full Time     Part Time

Brief description of duties:
Reason for leaving:
 Last salary:
 

References:

List three individuals - not employers or relatives - known to you for at least three years.

Reference 1.
Name:

Occupation:

Phone:
 Address:
 

Reference 2.
Name:

Occupation:

Phone:
 Address:
 

Reference 3.
Name:

Occupation:

Phone:
 Address:
 

Person to be notified in case of emergency
Name:

Phone:
 Address:
 
Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, activities, honors received, etc. (You may omit all information that would indicate age, sex, race, religion, color, national origin, or handicap)
 



SIGNATURE:
By filling in the following you hereby certify that the information provided on this application (and accompanying resume, if any) is true and complete to the best of your knowledge.
 
Signature
 Date of Birth (optional):
,
 
 

Join us at the Lorelei Cabana Bar and Marina
Breathtaking views of our world famous Sunsets and Live Music 7 nights a Week
Special Events and Weddings Available

Open 7 Days ~ Breakfast 7am ~ Lunch 11am ~ Dinner 4pm ~ Happy Hour 4-6 pm
Dinner Specials, Kids Menus, Delicious Food, Beach and Waterfront Dining

Lorelei Restaurant & Cabana Bar    81924 Overseas Highway    Islamorada, FL 33036
Email: lorelei@keysdining.com     Phone: 305-664-2692

 

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The Florida Keys Dining Guide