sotwvictoria.com

• Breakfast
• Lunch & Dinner
  • Appetizers & Platters
  • Soups & Salads
  • Panini's
  • Pizza
  • Dinner Specials
  • Dessert
• Drinks
  • Wine
  • Beer
  • Coffee & Tea
• Catering
• Contact us
  • Directions
  • Employment

Applicant Information
Full Name	Email	Street Address	City
State	Zip	Birthday	Social Security #
Start Date	Position Applying for	Are you a citizen of the US?	Convicted of a felony?
	Server Cook Barista	Yes No	No Yes
Phone Number
Education
High School	Address	Start - Finish Dates	Did you graduate?
			Yes No
College	Start - Finish Dates	Major	Did you graduate?
			Yes No
References Please list three professional references.
Full Name	Relationship	Company	Phone Number
Previous Employment Most recent
Company	Phone Number	Address	Supervisor
Job Title	Starting Pay $	Ending Pay $	Start - Finish Dates
Responsibilities		Reasons for leaving
May we contact your pervious supervisor? Yes No
Second most recent
Company	Phone Number	Address	Supervisor
Job Title	Starting Pay $	Ending Pay $	Start - Finish Dates
Responsibilities		Reasons for leaving
May we contact your pervious supervisor? Yes No
Third most recent
Company	Phone Number	Address	Supervisor
Job Title	Starting Pay $	Ending Pay $	Start - Finish Dates
Responsibilities		Reasons for leaving
May we contact your pervious supervisor? Yes No
Military Service
Branch	Service dates	Rank at discharge	Type of discharge
If other than honorable, please explain
I certify that my answers are true and complete to the best of my knowledge.