Get Hired – Lucky Lobster Co.

Employment Application

Please fill in the Preliminary Work Application below. We will call you in for an interview and to fill out a complete application if we have an applicable position available.

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Phone*
Secondary Phone
Position Desired
Referred by
Date you can start*
Date Format: MM slash DD slash YYYY
Are you currently employed?*
- Yes
- No
If currently employed, may we contact your employer?
- Yes
- No
Education
High School College Trade or Technical Education
Employment*
Name of Employer Location Dates employed Position Reason for Leaving
Have you ever served in the US Armed Forces?
- Yes
- No
Military Service
Branch of service Discharge date Rank
References
Name Address Phone Email
Additional Comments
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Name
This field is for validation purposes and should be left unchanged.

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Employment Application

941 Huntley Ave.
Dunedin,
FL. 34698

Sun-Tues: 11am-9pm
Wed-Thurs: 11am-10pm
Fri & Sat: 11am-10:45pm

727-228-1222

Name of Employer	Location	Dates employed	Position	Reason for Leaving

Branch of service	Discharge date	Rank

Name	Address	Phone	Email