Application for Employment Your Personal InformationYour Name* First Last Your Home Address* Street Address Unit / Suite Number City State Zip Code Social security number*Please enter a value between 9 and 9.Your Email Address* Enter Email Confirm Email Your Phone*Best Time To Call You*When is the best time for us to reach you via telephone?Best Time To Call YouMorningsEarly AfternoonLate AfternoonEarly EveningPosition You're Applying For*Wait StaffKitchen StaffBartenderManagementEmployment desired*Full time onlyPart time onlyFull or Part timeHours You Are Available for Work*please tell us what hours you are available for work each day of the week.MonTuesWedThursFriSatSun When avalable to start work?*EDUCATIONWhat is your highest level of education?*High SchoolSome college but did not completeCollege or vocational school graduateName of College or University*Address of College or University Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Have you ever been convicted of a crime?*NoYesDo you have a Driver's License?*YesNoYour Previous Employers*please list your previous employers, the dates you worked and the position you heldEmployerDatesPositionPhone Your Previous Employers*please list your previous employers, the dates you worked and the position you heldEmployerDatesPositionPhone More About YouTell Us About Yourself* Upload Your Resumeupload your resume in .pdf, .doc or .docx formatThe Legal StuffTerms and ConditionsBy agreeing to our terms, I certify that all of the information contained in this application is true and complete. I understand that any misrepresentations or false information that I provide, either in this employment application or at any other time during the application and hiring process, may result in the disqualification of my application for employment or, if I am hired, in the immediate termination of employment at any point in the future. I understand and agree that this employment application does not guarantee employment on any terms. I further understand and agree that, if I am hired, it will be on a strictly at-will basis, meaning that just as I am free to resign at any time, Mixx Atlanta has the right to terminate my employment at any time, with or without cause or prior notice. No implied oral or written agreements contrary to this at-will employment basis are valid unless they are in writing and signed by the President of Mixx Atlanta. I understand that Mixx Atlanta may seek to verify any or all information listed above or otherwise provided by me during the application and hiring process. I hereby expressly authorize Mixx Atlanta to verify that information, without further notice to or consent by me, and I authorize prior employers and others from whom such verification is sought to release relevant information about me. I further authorize Mixx Atlanta to investigate all references and secure additional information about me. I hereby release from liability Mixx Atlanta and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. Mixx Atlanta is an Equal Opportunity Employer. Mixx Atlanta does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.Acceptance* I agree to the Terms and Conditions Untitled Comments are closed.