Job Application Form

1245 Lewis River Road, Woodland, WA 98674

Job positions we are currently taking applications for:

Experienced Server

Dishwasher/Host ~ Part Time

Applicants must be available to work Weekdays and Weekends from 7AM – 3PM

Food Worker Card (also called a Food Handler Permit) required.

For more information on the Food work card click on this link

You must select a choice and fill in all fields marked (required) with N/A if you have no information to add, than click submit when completed.

Thank you for your interest in working at Rosie’s 

First Name(required)

Last Name(required)

Street(required)

City, State and Zip Code(required)

Email(required)

Home Phone Number(required)

Cell Phone Number(required)

What Job position are you applying for?(required) Cook

Prep Cook

Server

Host

Dishwasher

What are your looking for Part Time or Full Time work?(required) Part Time

Full time

If you are under age 18, can you supply proof of eligibility to work??(required) Yes

No

How many hours a week are you looking for?(required)

What is your minimum expected Starting Wage?(required)

What days of the week are you available?(required) Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Can you perform well in a fast-paced service environment?(required) All the time

Most of the Time

Never

Don't Know

No Experience

Are you able to perform the essential duties of the position for which you are applying with or without reasonable accommodation(s)?(required) YES

NO

How did you hear about us? Work Source Social Media Friend or Family Referred by a current team member

If referred by a current team member, who referred you?

Why would you like to work for Rosie's?(required)

Have you ever been employed with Rosie's?(required) YES

NO

If yes, when?

What Position?

Have you ever worked in the food and hospitality industry?(required) YES

NO

If yes, where did you work and how long?

If yes, what do you enjoy most about working in the food and hospitality industry?

Additional Experience, Skills or Training. Please list any additional experience, skills or training which you believe should be considered in evaluating your qualifications for employment:

Do you have a current Food Handlers Card for Washington State?(required) YES

NO

Are you Authorized to work in the US?(required) YES

NO

Do you have reliable transportation?(required) YES

NO

If needed on your days off, would you be able to fill in?(required) YES

NO

If no, please explain?

Are you willing to wear a uniform and follow grooming standards?.(required) YES

NO

Are you willing to do tasks outside of your job description which may include other side duties.(required) YES

NO

Do you have experience handling cash and providing change?(required) YES

NO

If hired for a position, what is the earliest date you can start?(required)

Are you currently employed?(required) YES

NO

If Yes, are you planning on working both jobs?(required) YES

NO

Please provide your employment history for the past 10 years: starting with your most current job. (If no previous Employment History type N/A in each box below to submit application.)

Do you have previous Employment History(required) YES

NO

Company Name(required)

Address(required)

Phone(required)

Your Position(required)

Duties (required)

Starting Salary: (required)

Ending Salary: (required)

Supervisor(required)

Dates of Employment (Start Date) (required)

Dates of Employment (Last Date)(required)

Reason for Leaving?(required)

May we contact your previous employer?(required) YES

NO

Company Name(required)

Address(required)

Phone(required)

Your Position(required)

Duties(required)

Starting Salary: (required)

Ending Salary: (required)

Dates of Employment (Start Date)(required)

Dates of Employment (Last Date)(required)

Reason for Leaving?(required)

Other Details (more employment information)(required)

May we contact your previous employer?(required) YES

NO

Company Name(required)

Address(required)

Phone(required)

Your Position(required)

Duties(required)

Starting Salary: (required)

Ending Salary: (required)

Dates of Employment (Start Date)(required)

Dates of Employment (Last Date)(required)

Reason for Leaving?(required)

Other Details (more employment information)(required)

May we contact your previous employer?(required) YES

NO

If you are currently attending school select the type of school you are attending:(required) Full Time School

Virtual school

Homeschool

Select your Highest level of education:(required) 8th grade or less

9th grade

10th grade

11th grade

12th grade

Graduated high school/obtained GED

College education:(required) None

Some college/university

Associates Degree/Cert

Bachelor’s Degree

Master’s Degree or higher

Trade School

College, University or Trade School Name, City, State/Providence, College Country

Describe Course of study

Personal or Business Reference

Name

Business

Phone

Address

Relationship

Years know

Personal or Business Reference

Name

Business

Phone

Address

Relationship

Years know

Are you able to speak and read English?(required) YES

NO

Are you willing to relocate?(required) YES

NO

Questions or Comments

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You must select a choice and fill in all fields marked (required) with N/A if you have no information to add, than click submit when completed.

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