NAME* 

LAST NAME* 

PRESENT ADDRESS* 

CITY* 

STATE* 

ZIP 

AREA CODE + PHONE NUMBER* 

CELL PHONE NUMBER 

E-MAIL* 

Can You Work Full-Time? 

Please Note Any Restrictions on Your Time: 

Which Restaurant Computer Systems Have You Used?: 

         Please give the names and current phone numbers of two of your past restaurant employers who can give us an accurate perspective on you as a potential employee of POSTO 22 Restaurant.

restaurant name supervisor's name - position area code + phone number * * * * * *

* The above information is true to the best of my knowledge and I authorize Posto 22 Restaurant to check the references listed above.

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