Test Page

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

Are you able to work holidays?
YesNo

Do you have transportation to make it in for scheduled shifts
YesNo

Posted hours are: Mon-Wed 11 am - 3 am Thur-Sat 11 am – 4 am Sun 11 am – 2 am

Availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

High School

College

Degree

Other Degree

REFERENCES 1

Full Name

Relationship

Company

Phone

Address

REFERENCES 2

Full Name

Relationship

Company

Phone

Address

REFERENCES 3

Full Name

Relationship

Company

Phone

Address

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?
YesNo

Branch

From

To

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 Catering

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

DISCLAIMER AND SIGNATURE

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

Doughby's Breakfast

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