ST. Mary's Supper Club
Application

Personal Information
Full Name                
Address                
City         State   Zip  
Contact Number              
Are you 21 years old? Yes No
            Date of Birth          
DD MM YYYY
Do you have an Employee Permit to serve alcohol? Yes No If yes Permit No.    
If no, are you able to obtain one? Yes No
You can be denied or have revoked  an Employee permit to serve alcohol for the following reasons:
Convicted of a DUI within the last 12 months.
Convicted of three or more DUIs last 10 years.
Do these reasons or any other reasons disqualify you from maintaining or obtaining an Eployees Permit? Yes      No
Are you able to work evenings, weekends and holidays after 4:30? Yes No
If needed are you able to work non-business hour catering events? Yes No
If no, list days and holidays not able to work.Include dates that fall on Sunday, Monday and Tuesday as we open some Sundays and Monday holidays. If none write none.
             
             
             
             
List last work place of employment.. (Must have a reachable contact and number)
Business Name How Long Date  Ended Contact Name Number
                       
List past work experience as a Server.
Business Name How Long Date  Ended Contact Name Number
                       
                       
                       
Other Work Experience.
                       
                       
I attest the information in this application is true and complete to the best of my knowledge.
                 
Signature Date

List Two Non family References (May list a family reference as third reference)   

Name of Contact Contact # How Known?
1. # ?
2. # ?
3. # ?