The TransLatin@ Coalition in Partnership with Michaela Mendelson and The CA Trans Work Project (CTWP) was awarded by The California Workforce Development Board to work with The California Restaurant Association to provide cultural sensitivity training to restaurants across the state of California and place trans people to work at these restaurants that have been trained.

Please fill out this application so that we can set you up for an interview with a restaurant close to your area in the state of California. We will get in contact with you to follow up with your application. Thank you for giving yourself the opportunity to be employed at a restaurant in the State of California.

Preferred Name *
Preferred Name
Legal Name *
Legal Name
Phone *
Present Address *
Present Address
Previous Address
Previous Address
Age *
If under 18 years of age a work permit or certificate may be required as a condition of employment.
Are you legally authorized to work in the United States? *
If you are hired, you will be required to provide verification of your legal right to work in the United States
How did you learn of our organization
Date you can start: *
Date you can start:
Days and Hours available to work:
Degree Received
Degree Received
Degree Received
List the names of three persons not related to you, whom you have known at least one year
Person 1
Person 1
Phone Number (Person 1)
Address (Person 1)
Person 2
Person 2
Phone Number (Person 2)
Address (Person 2)
Person 3
Person 3
Phone Number (Person 3)
Address (Person 3)
Personal Information
You need not disclose: 1.) convictions for marijuana-related offenses that are more than two years old; 2.) any information regarding your participation in or referral to any diversion program; 3.) convictions that have been sealed, expunged or legally eradicated; and 4.) misdemeanor convictions for which probation was completed and the case was dismissed. If yes, briefly describe the nature of the crime(s). the date and place of conviction, and the legal disposition of the case.
A conviction will not necessarily disqualify you from employment.
List below last two employers, starting with your present or most recent employer.
(present or most recent)
Address (Employer No. 1)
Phone (Employer No. 1)
Employed From (Month & Year)
Employed To (Month & Year)
Starting Rate of Pay
Current/Ending Rate of Pay