Employment Application

First Name Last Name Email Phone Number Street Address (Number and Name) City or Town State ZIP Code Social Security Number (9 digits) Photo of Social Security Number (SSN) This can be a photo of your SSN card or any official document that shows your full Social Security Number. Second Form of ID (Passport, Driver’s License, etc.) This can be a Passport, Driver’s License, Permanent Resident Card, or any other official U.S. government-issued ID. How do you file your taxes

Single Married Head of Household

Citizenship or Immigration Status

1. A citizen of the United States 2. A noncitizen national of the United States 3. A lawful permanent resident

Select Location Are you hired for?

Cashier Kitchen

First Day of Work Do you want Direct Deposit?

Yes No

Do you have any dependents under 18?

Yes No

Signature

Employment Application

Thanks! 🎉