Apply Today Bella Vida Employment Application APPLICATION "*" indicates required fields Step 1 of 4 25% CommentsThis field is for validation purposes and should be left unchanged.Date MM slash DD slash YYYY Personal Information Full Name* First Date Of Birth MM slash DD slash YYYY AgePlease enter a number greater than or equal to 14.Phone Number*Email* Position Sought*Wage Desired*When can you start?*Your LAST DAY?* Position Summer Address* Permanent Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address* Permanent Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a veteran?* Yes No If selected for employment are you willing to get a background check?* Yes No Are you eligible to work in the US?* Yes No EducationRestaurant Experience* None 1-2 years 2-5 years 5+ years Type of Position* Full Time Part Time Seasonal Availability* Morning- Daytime Evening Weekends Anytime Department* Front of House Back of House Maintenance / Yardwork Type of Trade /Business Edu*Years Attended*Graduation Date* MM slash DD slash YYYY Employment HistoryFORMER EMPLOYMENT - List below your last three employers, starting with last first1) Date of EmploymentEmployment period (YYYY – YYYY)Employers Name / AddressEmployers PhoneSalaryPositionReason For Leaving2) Date of EmploymentEmployment period (YYYY – YYYY)Employers Name / AddressEmployers PhoneSalaryPositionReason For Leaving3) Date of EmploymentEmployment period (YYYY – YYYY)Employers Name / AddressEmployers PhoneSalaryPositionReason For Leaving4) Date of EmploymentEmployment period (YYYY – YYYY)Employers Name / AddressEmployers PhoneSalaryPositionReason For Leaving ReferencesREFERENCES - Please list a minimum of 2 references1) Reference Name* First Address*Business*Phone*Years Known*May We Contact*2) Reference Name* First Address*Business*Phone*Years Known*May We Contact*Have you applied other places?Wage or Salary desired Generic InformationWhat are your strengths?*What are your weaknesses?*How can you be an asset to Bella Vida?*What is the most important thing in life to you?*Do you have another Job? If so, please specify what your responsibilities are and when you are not available to work at Bella Vida.*Please let us know any other information about yourself. Activities, sports, clubs, etc.CAPTCHAAknowledgement* I hereby acknowledge and understand that if I am hired it would be on a probationary basis and that my employment will not exceed ninety (90) days unless extended by the Company or unless the Company shall offer me employment on a regular basis, full or part time, prior to the expiration of the probationary employment.I also agree to give a two weeks notice if a decision is made to be employed elsewhere.I agree to report to work on time. I understand that Bella Vida has a no tolerance drug & alcohol policy, that insubordination, not showing up for work or coming to work late or not in proper uniform are reasons for immediate dismissal. Date MM slash DD slash YYYY