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ADDRESS

39910 Aurora Road, Solon, OH 44139

PHONE

email

lisa@station43tavern.com

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Home
ABOUT US
MENU
CATERING
CONTACT US

Call Us Today

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Station 43 Tavern Application Form

Name

Address

Address Line 2

City

State

Zip

Phone

Email:

Date Available

Desired Salary

Position Applied For

Are you a citizen of the United States?

Yes

No

Other

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, when

Have you ever been convicted of a felony?

Yes

No

If yes, explain

Education

High School Address

Dates

Did you graduate

Yes

No

College

College Address

Dates

Did you graduate?

Yes

No

Degree

Other Education

Address

Dates

Did you graduate

Yes

No

Degree

Reference - Please list three professional reference

.

Company

Phone

Company Address

Reference #2

.

Company

Phone

Address

Reference #3

.

Company

Phone Number

Company Address

Previous Employment

.

Address

Name of Supervisor

Job Title

Starting Salary

Ending Salary

Please describe your position and responsibilities:

Dates

Reason for Leaving

Company Name #2

.

Address

Name of Supervisor

Job Title

Starting Salary $

Ending Salary $

Please describe your position and responsibilities:

Dates

Reason for leaving:

Military Service (Military experience, dates enlisted, rank at discharge, and reason for discharge if other than honorable

Disclosure & Signature

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CONTACT US

ADDRESS

39910 Aurora Road, Solon, OH 44139

PHONE

HOURS

SUNDAY - MONDAY: CLOSED

TUESDAY - THURSDAY: 11:00 AM - 9:00 PM

FRIDAY - SATURDAY: 11:00 AM - 10:00 PM

email

lisa@station43tavern.com

*Please note: A 3% processing fee will be added to credit card payments.

Thank you for your understanding.

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Phone

Email

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