Name *

First Name

Last Name

Phone *

(###)

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What position(s) would you like to apply for? *

Server

Cook

Dishwasher

Cashier/Hostess

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. *

I certify that I am a US citizen, permanent resident, or a foreign nation with authorization to work in the United States.

Random drug testing is our policy. Do you agree to comply with our Zero Tolerance policy on drugs? *

Yes, I understand that Mel's Diner is a Drug Free Workplace and will comply with all policies.

Days Available to Work *

Check all that apply or select "Any Day" if available Sunday-Saturday

Any Day

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Shift Preference *

Mornings

Evenings

No Preference

I am seeking a.... *

Full time position

Part time position

No Preference.

Are you employed now? *

Yes

No

Reference #1 Phone Number

(###)

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Reference #2 Phone Number

(###)

###

####

Reference #3 Phone Number

(###)

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Application Certification *

I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated