Online Employment Application

By completing a submitting this form you certify that the facts contained in this application are true and complete to the best of your knowledge and understand that, if employed; falsified statements on this application shall be grounds for dismissal. You authorize investigation of all statements contained herein and the references and employers listed may provide any and all information concerning your previous employment and any pertinent information they may have, personal or otherwise, and you release the company from any liability for damage that may result from utilization of such information. You also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws

* Required

Your name *

Email address *

Have you ever eaten at Costa Vida *

Yes
No

Phone number *

Street Address *

City *

State *

ZIP Code *

Please select the restaurant at which you would like to apply to work. *

If you have previous restaurant experience please select those positions you have held. (Select all that apply)

How many years do you have working in the restaurant industry? *

For what position are you applying? *

What type of position are you applying for? *

Full Time
Part Time

What is you desired Wage/Salary *

What days of the week are you available? (Select all that apply)

Are you at least 16 years or older? *

Yes
No

Please indicate the highest level of education you have completed. *

If hired, can you show proof of your legal right to work in the United States? *

Yes
No

Do you have reliable transportation to get to work? *

Yes
No

Have you ever been employed by Costa Vida? *

Yes
No

If yes, where were you employed? *

Have you ever been convicted of a felony? *

Yes
No

If yes, please explain. (When, Where, Why?) *

If hired, when can you begin working? *

Do you have a current food handler's permit? *

Yes
No

Why are you excited to work at Costa Vida? *

Explain why you want to work in an environment that focuses on serving other people? *

You certify that you have read the disclosure at the top of this form and agree to the terms therein. *

Yes
No

* Required