Applications can be submitted via this online form or by printing the pdf version and personally bring it to BuffaLouie’s at the Gables – 114 South Indiana Avenue Bloomington, IN. Please take your time to complete the necessary information required, Thank you.

Personal Information

First Name *
Last Name *
Current Address *
City *
State *
Zip *
Permanent Address
City
State
Zip
Current Phone Number *
Permanent Phone Number
Cell Phone Number *
Email Address *
 
How did you hear about job opportunities at BuffaLouies?
Do you know anyone who is currently employed at BuffaLouies? *
YesNo
If so, who?
Have you ever been employed by BuffaLouie’s in the past? *
YesNo
If so, dates of employment

(if hired, verification is required by law)
Reason for leaving
Are you legally eligible for work in the United States? *
YesNo
(if hired, verification is required by law)
Have you been convicted of a crime in the last 7 years? *
YesNo
If yes, please list convictions that are a matter of public record (an arrest is not a conviction). A conviction will not necessarily disqualify you from employment.
Are you of legal age to serve alcohol? *
YesNo
Do you have reliable means of transportation to work? *
YesNo
 
What position(s) are you applying for? *
If applying for Delivery Driver, have you been involved in a moving vehicle violation
in the last 7 years? *
YesNo
(BuffaLouie’s will check the motor vehicle records of any job applicant, in every State of previous employment, when driving is an essential job function)
If yes, please list
What skills do you have that are applicable to position(s) applied for? *
 
Date available for employment
Date available for employment *
If hired, how long do you plan to be employed by BuffaLouie’s? *
How many hours are you able to work per week? *

(BuffaLouie’s is open for business 7 days a week)
Do you have any regularly scheduled or intermittent obligations that may affect your
availability to work? *
YesNo
If yes, please list
Specify hours available each day of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education

High school
Name and Address of School
Last year completed
Did you Graduate?
YesNo
Subjects studied, Degrees received
 
College
Name and Address of School
Last year completed
Did you Graduate?
YesNo
Subjects studied, Degrees received
 
Post College
Name and Address of School
Last year completed
Did you Graduate?
YesNo
Subjects studied, Degrees received
 
Trade, business or correspondence school
Name and Address of School
Last year completed
Did you Graduate?
YesNo
Subjects studied, Degrees received

Employment History

Provide information for your last 3 employers starting with the most recent. If never employed, list any volunteer activities.

 
Employer1
Supervisor
Position held
Dates (From: to)
Location
Phone Number
Last rate of pay
Reason for leaving
Are you eligible for rehire?
YesNo
 
Employer2
Supervisor
Position held
Dates (From: to)
Location
Phone Number
Last rate of pay
Reason for leaving
Are you eligible for rehire?
YesNo
 
Employer3
Supervisor
Position held
Dates (From: to)
Location
Phone Number
Last rate of pay
Reason for leaving
Are you eligible for rehire?
YesNo

Personal References

Name
Phone Number
Occupation
Relationship
Years acquainted
 
Name
Phone Number
Occupation
Relationship
Years acquainted
 
Name
Phone Number
Occupation
Relationship
Years acquainted
 

 
BuffaLouie’s provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, disability or genetics.