Employment Application

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POSITION(S) APPLYING FOR:

NAME: *

ADDRESS: *

CITY: *

STATE: *

ZIP CODE: *

TELEPHONE: *

EMAIL: *

HAVE YOU FILLED OUT AN APPLICATION HERE BEFORE? *

IF YES, GIVE DATE:

HAVE YOU BEEN EMPLOYED BY SCUTTLEBUTT'S OR SURFSIDE SANDWICH SHOPPE? *

IF YES, GIVE DATE:

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES? *

ON WHAT DATE WOULD YOU BE ABLE TO START WORK? *

ARE YOU ABLE TO WORK (SELECT ALL THAT APPLY):

HAVE YOU BEEN CONVICTED OF A CRIME IN THE LAST FIVE YEARS? IF YES, PLEASE DESCRIBE: *

MILITARY STATUS: HAVE YOU SERVED IN THE U.S. ARMED FORCES *

IF YES, GIVE DATES:

TO:

BRANCH:

RANK:

RESERVE STATUS:

DISCHARGE DATE:

TYPE OF DISCHARGE:

EDUCATION: SCHOOL? YEARS COMPLETED? DID YOU GRADUATE? YEAR? *

EMPLOYMENT HISTORY: COMPANY & TELEPHONE? POSITION? DATES OF EMPLOYMENT? REASON FOR LEAVING? *

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