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Union Station Grill
Home
Drinks
Beers
Snacks
Greens & Soups
Between Bread
BYO Buns
Large Plates
Kid's Things
On The Side
About Us
Our Other Locations
Welcome
Gift Cards
Join Our Team
Application For Employment At
Union Station Grill
171-173 S Fourth Street
Columbia, PA 17513
Personal Information
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Are you a U.S. Citizen
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Position (Note - not all positions listed below may be available)
Position You Are Applying For (check all that apply)
*
Hostess
Bartender
Server
Food Runner
Head Chef
Line Cook
Dish Washer
Other (Please describe below)
Other:
Employment Desired
*
Full Time
Part Time
Seasonal / Temporary
Available Start Date
*
MM
DD
YYYY
Desired Hourly Rate or Yearly Salary
$
Education
Level Of Education (check all that apply)
*
Some High School (no diploma or currently a student)
High School Diploma
Current College Student
College Degree
Technical School Degree or Certificate
Please provide any information about your education, certificates or course studies that will help us determine your eligibility.
*
References
First Reference Information
*
First Name
Last Name
Title And Company
*
Phone
*
(###)
###
####
Second Reference Information
*
First Name
Last Name
Title And Company
*
Phone
*
(###)
###
####
Third Reference Information
*
First Name
Last Name
Title And Company
*
Phone
*
(###)
###
####
Employment History
Most Recent Employer
*
Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Job Title
*
Start Date
*
MM
DD
YYYY
End Date (If still employed leave blank)
MM
DD
YYYY
Starting Pay Rate
*
$
Ending Pay Rate
*
$
Previous Employer (1)
Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Job Title
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Starting Pay Rate
$
Ending Pay Rate
$
Previous Employer (2)
Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Job Title
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Starting Pay Rate
$
Ending Pay Rate
$
Disclaimer
By checking the box below and submitting this employment application electronically I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in this application or interview may result in release.
*
I Agree
Name
*
First Name
Last Name
Date
*
MM
DD
YYYY
Thank you!