First Name
Last Name
M.I.
Date of birth
Address
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Date Available
Are you under the age of 18? YesNo
If yes, pleases state age?
Are you a citizen of the United States? YesNo
If no, are you authorized to work in the U.S.? YesNo
Have you ever been convicted of a felony? YesNo
If yes, explain?
Name
Relationship
Position you are applying for? [radio* position "Kitchen" "Driver" "Both"]
How many hours per week are you available?
Are you able to work late nights and weekends? YesNo
If no, explain?
Are you able to work holidays? YesNo
Do you have transportation to make it in for scheduled shifts YesNo
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
From
To
Did you graduate? YesNo
Full Name
Company
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference? YesNo
Branch
Rank at Discharge
Type of Discharge
If other than honorable, explain
Doughby’s has recently began serving breakfast on Saturday and Sunday mornings from 8 am to 2 pm and is looking to fill these positions as well. Please check yes or no if you are available for these shifts. YesNo
Doughby’s has recently began event catering for special occasions and is looking to fill these positions as well. Please check yes or no if you are interested in catering opportunities. YesNo
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. YesNo
I understand that if I am employed as a delivery driver that I will be responsible for the operation and maintenance of my car. I will keep a valid driver’s license and my car will be insured and registered as required by law. I am responsible for any accidents or tickets which may occur and I will not hold Doughby’s or any of its affiliates accountable for the following: Damages, accidents, preventative maintenance (wear and tear), or traffic violations. I agree that as a driver or kitchen employee I will work at least one shift on Green Beer Day. There will be no exceptions!
Date
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