Tera Nova Lounge
Application for Employment



You can either download the Application Form, fill it in and mail to us or fill in and submit the on-line Application Form for faster processing.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, martial status, political belief, or disability that does not prohibit performance of essential job functions.

Answer all questions, please print for your own records.
Letter to our Applicants:
We strive to consistently offer unsurpassed service and guarantee that every guest's experience is a pleasurable and memorable one. We only accept the highest standards and only employ the most qualified individuals. We hope to help you with your development within and outside our organization and demand the most professional level of service from you each and every time. We will promote a drug free environment that our staff of professionals will enjoy coming to everyday and see their coworkers as family.

Please email your picture to teranovajax@gmail.com and include your name in the subject line.
Name:
Permanent Address: Position Desired:
City: State: Zip: 2nd Position Desired:
Current Address: Current Income:
City: State: Zip: Desired income:
Home Phone:
Cell Phone: Referred By:
Yes No Do you have any friends or relatives that are employed with this company?
Yes No Have you applied for a job with this company before?
Yes No Can you read recipes, procedures & policies and other written instructions?
Yes No Can you submit satisfactory proof of employment authorization and identity?
(valid driver's license, birth certificate, Green card with work permit, etc.).
Yes No Do you have transportation to meet any scheduled shift?
Yes No Is there any reason why you can not perform all physical tasks of this job
(including the ability to lift up to 50 lbs on a regular basis?
If Yes, please explain:
Yes No Have you ever been convicted of a crime in a court of law?
(except a minor traffic violation)
If Yes, please explain:
Yes No Have you ever held a position of trust (handling money or confidential material)?
Yes No Have you ever served in the Armed Forces?
If Yes, please state branch, date entered, and date discharged:
Yes No This company is a drug free workplace.
Are you able to perform random drug testing policies?
Yes No Do you have experience serving high profile figures?
Yes No Are there days and shifts you can not work?
If Yes, please state the hours for which you are unavailable:
Day: Time From: Time Till: Brief Reason:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Former Employers:
(most recent first)
Employer: May we contact: Yes No
Address: Phone:
Supervisor Name: Supervisor Title:
Job Title: Duties:
Mo/Year Hired: Mo/Year Left: Salary:
Reason for Leaving:
Employer: May we contact: Yes No
Address: Phone:
Supervisor Name: Supervisor Title:
Job Title: Duties:
Mo/Year Hired: Mo/Year Left: Salary:
Reason for Leaving:
Employer: May we contact: Yes No
Address: Phone:
Supervisor Name: Supervisor Title:
Job Title: Duties:
Mo/Year Hired: Mo/Year Left: Salary:
Reason for Leaving:
Employer: May we contact: Yes No
Address: Phone:
Supervisor Name: Supervisor Title:
Job Title: Duties:
Mo/Year Hired: Mo/Year Left: Salary:
Reason for Leaving:

References:

(please list non-relatives you
have known for at least 1 year)
Name Phone Number Relation