The Boathouse Restaurant: Lakeside and waterfront dining with Wine Spectator Award winning wine list in Richmond, VA

Please use this form to apply on line. Thank you for considering us as a place you might want to work. Privacy Statement & Legal Info

PERSONAL INFORMATION:
First Name:
Middle Name:
Last Name:
Phone Number:
Email Address:
SSN#:
Are You Over 18?		Yes No
Are You Prevented From Lawfully Becoming Employed In This Country Because of
Visa or Immigration Status? Yes No Why?


PRESENT ADDRESS:
Street:
City:
State:
Zip:

PERMANENT ADDRESS: (if different)
Street:
City:
State:
Zip:

EMPLOYMENT DESIRED
Position:
Date You Can Start:
Salary Desired:
Currently Employed?		Yes No
If So, May We Inquire of Your Current Employer? Yes No
Ever Applied To This Company Before? Yes No
Where/When?:
Referred By:

EDUCATION:
Grammar School
Name/Location:
Years Attended:
Subjects Studied:
Did You Graduate?:		Yes No

High School
Name/Location:
Years Attended:
Subjects Studied:
Did You Graduate?:		Yes No

College
Name/Location:
Years Attended:
Subjects Studied:
Did You Graduate?:		Yes No

Trade School
Name/Location:
Years Attended:
Subjects Studied:
Did You Graduate?:		Yes No

GENERAL
Subjects of Special Interest or Research Work:


Special Skills:

Activities:

US Military Service:		Yes No
Currently Active?:		Yes No
Rank:

FORMER EMPLOYERS (list former employers starting with most recent)
Employer One
From / To:
Address:
Salary:
Position:
Reason For Leaving:

Employer Two
From / To:
Address:
Salary:
Position:
Reason For Leaving:

Employer Three
From / To:
Address:
Salary:
Position:
Reason For Leaving:

Employer Four
From / To:
Address:
Salary:
Position:
Reason For Leaving:

REFERENCES: (give names of three people that are not related and you've known for 1 year plus)

Reference 1
Name:
Address:
Business:
Years Known:

Reference 2
Name:
Address:
Business:
Years Known:

Reference 3
Name:
Address:
Business:
Years Known:

EMERGENCY CONTACT INFORMATION
Name:
Address:
Phone Number:
Relationship:

LEGAL INFORMATION
"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with our without notice, at any time by the company. I understand that no company representative, other than it's President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Date:
Signature: