To apply for The Tap West Lafayette, please fill out the form below or click here for a printable form.

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Personal Information

Address *
Address
City
State/Province
Zip/Postal

Employment Desired

Are you currently employed? *
If so, may we inquire of your present employer? *
Are you legally authorized to work in the US? *
Have you ever applied to this company before? *

Education History

Did you graduate? *

General Information

Do you have US military service?

Former Employers

Do you have another former employer to add?

Additional Former Employer

Do you have another former employer to add?

Additional Former Employer

Do you have another former employer to add?

Additional Former Employer

References

Availability

Describe your work availability for each day of the week (Sunday - Saturday), and which shifts you'd be available to work during each day (AM shift runs from 10am - 5pm, PM shift runs from 4pm - 12am).

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I 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 to 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.