Square Cafe Application (Age 18 & Over)

Square Cafe Application
Please complete the following information and click on the "Save & Continue" button at the bottom of the screen.

PLEASE USE THE TAB KEY TO MOVE BETWEEN THE BOXES BELOW.

Thank you!

NOTE: All of the following questions are mandatory. If you do not complete these questions, your application will not be complete and you cannot move on in the application process.

NOTE: Items marked with an asterisk (* ) are required fields. YOU MUST PUT "NA" IN THE FIELD IF IT DOES NOT APPLY.

An Equal Opportunity Employer

Please enter the following Information

First Name * MI

Last Name *

SSN (Optional) - -

Cell Phone () -

Home Phone () -

Email

Confirm Email

Street

City

State

Zip

Referral source: *