Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have current, valid New Mexico servers permit? *

Yes

No

Are you 21 years of age or older? *

Yes

No

Have you worked as a bartender before? *

Yes

No

What days of the week would you be able to work? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What shift would you be able to work? *

Afternoon (10/11AM-3/4PM)

Evening (3/4PM-10/11PM)

Both