OnlineApplication - Carolina Ale House

Location:

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:

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:

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

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?

City & State

Position Held

Supervisor

Date Employed:

Reason for leaving