Career - Madame Jersey City

PERSONAL INFORMATION

Name *

First

Last

Email *

Phone

Date / Time

Date

Time

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of birth (MM/DD/YY) *

Position Front & Back of House Available Now

Date / Time

Have you ever applied to Madame before? *

Yes
No

EDUCATION

List Institutions attended, starting with most recent and year.

Graduated?

Yes
No

ARE YOU CURRENTLY EMPLOYED? *

Yes
No

1. Name of Employer

Year(s)

Telephone

Position Held

Reason for Leaving

2. Name of Employer

Year(s)

Telephone

Position Held

Reason for Leaving

3. Name of Employer

Year(s)

Telephone

Position Held

Reason for Leaving

REFERENCES

1. Name

Relationship to you

Contact Number

2. Name

Relationship to you

Contact Number

3. Name

Relationship to you

Contact Number

Please Upload Your Resume (Wait until resume is completely loaded before hitting submit)

Click or drag a file to this area to upload.

DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Signature

Date *

PRINT NAME *