Join Juicy’s Fun and Happy Team! (928) 85-JUICY (928) 855-8429 Today's Date(Required) Month Day Year When are you available to work?(Required) Position Applying For(Required) Legal Name(Required) Address(Required) Phone(Required)Email(Required) Last 4 of Social Security NumberAre you legally eligible for employment in the United States?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If yes, please explain circumstances: Do you have any disabilities or physical injuries that preexist your employment, if hired, and may or may not prevent you from performing the job that you are applying for?(Required) Yes No If yes, please explain circumstances: Are you at least 18 years old? (You must be at least 16 to work as host or busser)(Required) Yes No Birthdate(Required) Month Day Year Employment Status Desired(Required) Full Time Part Time Temporary If hired, when can you start?(Required) Month Day Year How did you hear about this job? *(Required) And why Juicy’s should give you a great job.(Required) Please list any restaurant experience you have Digital Signature(Required)By typing my full name (First Middle Last) I hereby certify that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that any misrepresentations or omissions of facts in this application are grounds for disqualification from further consideration or for dismissal from employment. Work History 1Company/Phone Number/Address/City/State/Zip/Dates of Employment Start-End/Salary Start-End/Job Title/Supervisors Name and Title/Reason For Leaving Work History 2Company/Phone Number/Address/City/State/Zip/Dates of Employment Start-End/Salary Start-End/Job Title/Supervisors Name and Title/Reason For Leaving Work History 3Company/Phone Number/Address/City/State/Zip/Dates of Employment Start-End/Salary Start-End/Job Title/Supervisors Name and Title/Reason For Leaving May we contact the employers listed above?(Required) Yes No If not, list the employers you do not want us to contact and why: Reference 1Name/Phone Number/Relationship Reference 2Name/Phone Number/Relationship Emergency Contact 1Name/Phone Number/Relationship Emergency Contact 2Name/Phone Number/Relationship Click on the button below and submit your application to [email protected] or drop it off in person APPLY TODAY