Name *

First Name

Last Name

Phone *

Current Number Where You Can Be Reached

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are You 18 or Over? *

Yes

No

Are You A United States Citizen? *

Yes

No

If You Are (Not) Citizen Are You Authorized To Work In The United States? *

Yes

No

Have You Ever Been Convicted Of A Felony? *

Yes

No

Have You Worked At Galway Bay Irish Restaurant, Pub And Gifts Before? *

Yes

No

Did You Graduate?

Yes

No

Did You Graduate?

Yes

No

Did You Graduate?

Yes

No

(1) Reference Name

First Name

Last Name

Reference Phone Number

(###)

###

####

(2) Reference Name

First Name

Last Name

Reference Phone Number

(###)

###

####

(3) Reference Name

First Name

Last Name

Reference Phone Number

(###)

###

####

Are You Currently Employed?

Yes

No

May We Contact Your Current Employer?

Yes

No

Have You Applied With Galway Bay Before?

Yes

No

Conditions Of Employment *

Galway Bay Irish Pub, Restaurant & Gifts is a unique place to work. A respectful, supportive behavior towards each team member is a prerequisite that carries over and is demonstrated thru genuine caring to our guests. Galway Bay Irish is committed to creating an environment for our guests and our staff that is nurturing and fun. Continued employment at Galway Bay Irish Restaurant, Pub and Gifts may be based on consent to and successful passing of alcohol or drug testing, or successful passing of job-related physical examinations.

I authorize investigation of all information contained herein and understand that false statements shall be grounds for dismissal.