Employment Application

Contact Information

Full Name:
Contact Number:

Position and Availability Details

Position Applying For:
Availability: Full-timePart-time
Indicate Part-time availability:
Monday: 11am-3pm3pm-5pmafter 5pm
Tuesday: 11am-3pm3pm-5pmafter 5pm
Wednesday: 11am-3pm3pm-5pmafter 5pm
Thursday: 11am-3pm3pm-5pmafter 5pm
Friday: 11am-3pm3pm-5pmafter 5pm
Saturday: 11am-3pm3pm-5pmafter 5pm

Work Eligibility

Are you now eligible to work in the USA? YesNo
Are you Under 21? YesNo
Are you Under 18? YesNo
Have you ever been convicted of (or plea bargained to) a FELONY? YesNo


Are you presently enrolled at Penn State? YesNo
-- If yes, when are you planning to graduate?
High School
1. College or Univeristy:
2. College or Univeristy:
Technical or Vocational Education:


List all relevant certificates or licenses (including valid drivers).
(Type of License -- License # -- Expiration Date & State)

Employment History

Beginning with your current or most recent job, list all previous employers with the following information:
Employer -- (Dates of employment) -- Final wage/salary -- Employment duties -- Reason for leaving -- Conact #

Other Skills, Qualifications, and/or Experience

Please list any additional acquired skills, knowledge, or experience you would like considered in assessing your qualifications for this position. (i.e. volunteer work, family business, vocational training, etc.):
I hereby certify that all this information is true and complete to the best of my knowledge. I understand that employment in certain positions may be conditional upon a review of criminal records. I authorize The All-American Rathskeller, Inc. to request and obtain records to determine the accuracy of my responses. I understand that any material misrepresentation or omission on this application may be grounds for rejection of my application or termination of any subsequent employment.