Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Available to Start if Hired? *

MM

DD

YYYY

How did you hear about us? *

Tu Chilito Team

Internet

Social Media

Friend

Other

Are you available to work the following? *

Weekend Mornings 7AM - 5PM (Fri, Sat, and Sun)

Weekend Afternoons & Evenings 12PM - 10PM

Weekday Mornings 7AM - 5PM

Weekday Afternoons & Evenings 12PM - 10PM

Are you Authorized to Work in the United States? *

Yes

No

Do You Have a High School Diploma? *

Yes

No

Do You Have a College Degree? *

Yes

No

Are You Active or Inactive Military? *

Yes, I am an Active

Yes, I am Inactive

No, I have never been in Military

Date Employed From (Most Recent)

MM

DD

YYYY

Are you still employed? *

Yes

No (Please select end date in following)

Date Employed To (Most Recent)

MM

DD

YYYY