the
DINER
2453 18th Street, NW
Washington DC 20009
TRYST
TRYST
Open City
2459 18th Street, NW
Washington DC 20009
2331 Calvert St. NW
Washington DC 20008
EMPLOYMENT APPLICATION
AT THE PHILLIPS
the
COUPE
3415 11th Street, NW
Washington DC 20010
1600 21st Street, NW
Washington DC 20009
GM Review
Application must be filled out completely in order to be eligible for hire
(official use only)
Check the location(s) for which you are applying: the DINER  Tryst  Open City  the COUPE  Tryst at the Phillips
First Name
Middle Name
Last Name
Street/PO Box
Apt. #
Day Phone #
Evening Phone #
(
(
)
Date
City
Zip
Social Security #
)
|
|
Email Address:
What is the best number to reach you at?
Emergency Contact Name / Relation
Day Phone #
(
Please check the position(s) for which you are applying:
What is the minimum you are expecting to earn?
What is your desired rate of pay? (Indicate in only one spot)
Are you currently employed?
 Yes
If not, how long has it been since you were last employed?
1.
2.
State




)




Barista
Bartender
Bus Person
Counter Person
$
$
Evening Phone #
(
)
Dishwasher
Door Person
Host
Line Cook



Prep Cook
Manager
Server
/ Hour (total including tips)
/ Hour (total including tips)
 No
How many hours a week are you available to work? ___________________________hours
Please indicate what hours are you available to work (ex: 6am-10pm) and check if you are available for graveyard.
Note: the DINER and The Coupe are open 24 hours and the graveyard shift is from 10pm until 6am. Tryst and Open City
shifts begin as early as 6am and go as late as 4am.
MON
TUES
WED
THUR
FRI
SAT
SUN
Hours available
Check if available for Graveyard
3.
Until what date does your indicated availability apply?
Until:
/
Month
4.

/
Day
No Restrictions
Year
Are you in school or taking any classes?
YES
NO
If yes, what are your plans for breaks and holidays? (You may omit any statements indicating legally protected information)
___________________________________________________________________________________________________
_______________________________________________________________________________________________________
For Internal Use (not topical application) Only:
 PA
 P
 Recommend for interview!
 A
 Q
 E
 I
MOD __________
6.
7.
YES
YES
NO
NO
YES
NO
YES
NO
10. Have you ever trained others in the past?
YES
NO
11. Do you enjoy training others?
YES
NO
12. Do you have an interest in becoming a trainer?
YES
NO
13. Do you have an interest in working at our other restaurants?
YES
NO
8.
9.
Are you willing to work holidays and weekends? (Closed on Xmas & Thanksgiving Day)
Do you have a reliable means of transportation during hours of operation?
(Operations are 24 hours a day, 7 days a week)
Do you have any scheduled obligations (i.e. weddings, exams, trips) coming up that we
need to know about?
If yes, please detail_________________________________________________________________
If we train on days or times when you have other obligations, are you willing to reschedule
so that you can attend our training?
14. How did you hear about us?  random/walk-in
 regular customer
 employee
 Washington Post
 Washington Hispanic
 friend
 internet (site)_______________________
15. List people you know (if any) who are currently working or have worked at one of our locations:
_____________________________________________________________________________________________________
16. Why are you interested in working here? ____________________________________________________________________
______________________________________________________________________________________________________
17. Have you ever applied to Tryst, the DINER, Open City, Tryst at the Phillips, or The Coupe before?
YES
If “Yes”, where & what was the result? _________________________________________________________
NO
18. Have you held more than one job in the last 12 months?
YES
NO
YES
NO
YES
YES
YES
YES
NO
NO
NO
NO
22. Are you of the legal age to serve alcoholic beverages (18 to serve, 21 to bartend)?
Have you served alcohol before?
YES
YES
NO
NO
23. Can you perform the essential functions required by the job for which you are applying?
YES
NO
19. If we offered you a job, how much notice do you need to give your employer (if you are
currently employed)? _______________________________________________________________
If hired, when would you be able to start? _______________________________________________
20. Have you ever been discharged from a job?
If “Yes”, how many times?__________________________________________________________
Please explain the circumstances:_____________________________________________________
________________________________________________________________________________
21. Besides minor traffic violations, have you ever:
Pleaded no contest to a criminal charge?
Pleaded guilty to a criminal charge?
Been placed on probation with respect to a criminal charge?
Been convicted of a crime? (Conviction will not necessarily disqualify one from employment)
If “Yes” to any of the above, please give date, charge, location & circumstances: __________
___________________________________________________________________________
24. Tell us anything you would like us to know about you: ________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Please use the space below to list your employment history starting from your most recent and working back in time.
Current or Most Recent JOB
JOB 2
JOB 3
JOB 4
Name of Company
Address/Location
Name of Reference/Contact
Telephone # of Reference /
Contact
Dates of Employment
From
/
Mo./Yr.
T
o
/
Mo./Yr.
From
/
Mo./Yr.
T
o
/
Mo./Yr.
From
/
Mo./Yr.
T
o
/
Mo./Yr.
From
/
Mo./Yr.
T
o
/
Mo./Yr.
Your Job Title
Please describe your duties
Describe work related
awards & promotions.
Average hours you worked
per week
Weekly gross income
Start _________ Last __________
Start _________ Last
__________
Start _________ Last
__________
Start _________ Last
__________
Hourly Rate
Start _________ Last __________
Start _________ Last
__________
Start _________ Last
__________
Start _________ Last
__________
Reason for Leaving
Are you eligible for Rehire?
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
May we contact this
employer?
 YES
 NO
 YES
 NO
 YES
 NO
 YES
 NO
Explain any Gaps in
employment over 30 days
between jobs
In the space provided below, please list your educational history:
HIGH SCHOOL
COLLEGE / UNIVERSITY
GRADUATE / PROFESSIONAL
School Name
(City & State)
Number of Years
Completed
Diploma/Degree Received
(Month/Year Graduated)
Describe Course Studies
Describe any job-related
training
Describe honors received
Do you speak, read or write in any other languages?
If “Yes” please list the languages and detail your proficiency: (i.e. Fluent, well, so-so)

YES

NO
_____________________________________________________________________________________________________
Please use the space below to detail any additional skills or information you feel may be helpful to us in considering your application:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
We consider applicants for all positions without regard to age, race, color, sex, religion, national origin,
marital status, bad taste in clothing, disability, sexual orientation, shoe size, or any other legally protected status.
PLEASE READ THIS CAREFULLY BEFORE SIGNING
I certify that the answers given on this application are true and complete to the best of my knowledge. I authorize investigation of all
statements in this application for employment as may be necessary for Tryst, Inc., Romain’s Table, Inc. (the DINER), and Third Place
(Open City), Inc., and Margot’s Chair (the Coupe), Inc. to arrive at an employment decision. I hereby understand and acknowledge
that, unless otherwise defined by applicable law, any employment relationship with Tryst, Inc., Romain’s Table, Inc., Third Place, Inc.,
and Margot’s Chair, Inc. is of an “at will” nature, which means that a staff member may resign at any time and Tryst, Inc., Romain’s
Table, Inc., Third Place, Inc., and Margot’s Chair, Inc. may discharge a staff member at any time with or without cause. I understand that
this “at will” employment relationship may not be changed unless such change is specifically acknowledged in writing by the President of
Tryst, Inc., Romain’s Table, Inc., Third Place, Inc., and Margot’s Chair, Inc. If I am hired, I understand that false, omitted, or misleading
information in my application, resume, or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules
and regulations of Tryst, Inc., Romain’s Table, Inc., Third Place, Inc., and Margot’s Chair, Inc. All offers of employment are conditional
to the receipt of satisfactory evidence of my integrity and legal authority to work in the United States. Offers of employment may be
conditional upon the successful completion of a criminal background check.
Signature _________________________________________________
Date ______________________________
I understand that this application will remain active for 30 days from the date received.