Name *

First Name

Last Name

Phone Number *

(###)

###

####

Do you have any culinary, hospitality or maintenance experience? *

yes

no

Can you provide a valid New York State ID? *

yes

no

Do you have a Social Security Card? are you eligible to work in the U.S.? *

yes

no

Are you between the ages of 18-40? *

Yes

No

Are you able to lift 50lbs and stand for 8hrs (minimum)? *

yes

no