Kansas City's authentic Mexican restaurant

Application for Employment

We are looking for happy, people-loving, hard working, reliable and trustworthy amigos to best serve our customers. Does that sound like you? If so, please fill out this form and we will get in touch with you shortly.

EDUCATION
Grade School
Please give name and location of school.
Number of years attended grade school:
Please enter a value between 1 and 13.
Did you complete grade school?
- Yes
- No
Favorite subjects
High School
Please give name and location of school.
Number of years attended high school:
Please enter a value between 1 and 6.
Did you graduate high school?
- Yes
- No
Subjects studied in high school.
College
Please give name and location of college(s).
Number of years you attended college:
Please enter a value between 1 and 8.
Subjects studied in college:
Did you graduate college?
- Yes
- No
What is your degree?
Trade, Business, Online or Correspondence School
Please give name and location of school(s).
Number of years you attended:
Did you graduate?
- Yes
- No
What certification or degree did you receive?

GENERAL
Subjects of special study or research work:
Special Skills:
Activities: (Civic, Athletic, etc.)
Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.
U. S. Military or Naval Service:
Rank
Present membership in the National Guard or Reserves:
- Yes
- No

FORMER EMPLOYERS
List below your last three employers, starting with the last one first. Include your current employer if applicable.
Name & Address of Employer 1:
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Salary:
Position:
Reason for leaving:
Name & Address of Employer 2:
Start Date:
MM
DD
YYYY
End Date:
MM
DD
YYYY
Salary:
Position:
Reason for leaving:
Name & Address of Employer 3:
Start Date:
MM
DD
YYYY
End Date:
MM
DD
YYYY
Salary:
Position:
Reason for leaving:
Which of these jobs did you like best?
What did you like most about this job?

REFERENCES
Name of Reference 1:*
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Business
Years Acquainted:
Name of Reference 2:*
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Years Acquainted:
Years Acquainted:
Name of Reference 3:*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Years Acquainted:
Years Acquainted:
EMERGENCY CONTACT
Name*
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
"The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.

If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report."
By checking the box below, you agree to the terms stated above:*
- I agree

Application for Employment

Step 1 of 5

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

GENERAL

FORMER EMPLOYERS

REFERENCES

EMERGENCY CONTACT

Catering Menu

CAREERS

Easy Location in Kansas City's Northland

Luna Azteca Mexican Grill