Carolina ALE HOUSE

Food Sports Fun

Application

Position Applying for:
Location Applying at:
Date of Application:

Personal Information
Name: Last:

First:

Middle:





Email Address:


Home Address: Apt #:

Address:

City:

State:

Zip Code:







Home Telephone:
Work Telephone:
Emergency Contact: Name:

Phone Number:

May we contact you at work? Yes No

General Information
Are you 18 or older? Yes No If not, date of birth:
Are you a citizen of the United States? Yes No If not, do you have a legal right and necessary documents to work in the U.S.? Yes No
Days and hours available for work:
Day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From:
To:
On what date would you be available to work? Starting salary desired:
Will you relocate if job requires it? Yes No Will you travel if job requires it? Yes No
Have you ever been bonded? Yes No If yes, on what jobs?
Have you ever been convicted of a crime, excluding minor traffic offenses? Yes No If yes, please explain:

Employment History
List employment history with most recent employer. Include any summer and part-time jobs and military experience.
Dates Name and Address of Employer Salary or Wages
From: Name Starting
Month Year Address City Final
To:
Phone
Month Year
List Major Duties Reason for Leaving

Dates Name and Address of Employer Salary or Wages
From: Name Starting
Month Year Address City Final
To:
Phone
Month Year
List Major Duties Reason for Leaving

References
Business references: (do not list relatives) (please indicate if you were employed under a different name)
Name: Address: Work Phone: Title: Years Known:

Have you previously worked for the Carolina Ale House?
Name
City & State Position Held
Supervisor Date Employed: From To
Reason for leaving
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