Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you able to perform the responsibilities of the position with reasonable accommodations? *

Yes

No

Are you a U.S. Citizen? *

Yes

No

Can you provide proof of eligibility to work in the United States? *

Yes

No

If you are under the age of 18, do you have an employment / age certificate?

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Type of work desired *

Full-time

Part-time

Seasonal or year round? *

Yes

No

Are you available to work holidays? *

Yes

No

Are you available to work weekends? *

Yes

No

Mondays

Morning

Afternoon

Evening

Tuesday

Morning

Afternoon

Evening

Wedneday

Morning

Afternoon

Evening

Thursday

Morning

Afternoon

Evening

Friday

Morning

Afternoon

Evening

Saturday

Morning

Afternoon

Evening

Sunday

Morning

Afternoon

Evening

Do you have a valid driver's license? *

Yes

No

Do you have a functioning vehicle? *

Yes

No

Have you ever applied for a job at the Karr Group (The Foundry, Pickle Barrel Nightclub or Jax Food & Games) before? *

Yes

No