join the Hideaway Gang Name * First Name Last Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Employment History * References: * Position applied for: * Server Cook Other Expected Pay per hour * Hours per week available * Available Start Date * MM DD YYYY Availability (tick days available) * Wed Day Wed Night Thurs Day Thurs Night Fri Day Fri Night Sat Day Sat Night Sun Day Sun Night Are you legally eligible to work in the United States? * Yes No Thank you!