Personal Information
Date of Application
First Name
M.I.
Last Name
Street Address
Apt Number
City
State
Zip
Phone Number
Social Security Number
Email Address
Shirt Size
Availability
Days and Hours You Can Work?
Employment Information
Position Applied For
Salary Desired
How many hours can you work weekly?
Do you have reliable transportation?
Driver’s License number
State issued
Expiration
If yes, explain number of conviction(s), nature of offense(s),date(s),sentence(s), and types of rehabilitation
Date Entered
Discharged
Type of discharge
If less than honorable, please explain
What questions do you have regarding the position?
Education
High School
From
To
College
From
To
Degree
References (Please list two references (not relatives)
Reference #1
Full Name
Relationship
Company
Phone Number
Reference #2
Full Name
Relationship
Company
Phone Number
Previous Employment
Company
Phone Number
Address
Supervisor
Job Title
Starting Pay
Ending Pay
Responsibilities
From
To
Reason For Leaving?
DISCLAIMER AND SIGNATURE
In exchange for the consideration of my job application by Studly Brewing, LLC. I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Studly Brewing LLC., or otherwise to change in any respect the employment -at- will relationship between it and the undersigned, and that relationship cannot be altered except by written instrument signed by the owner or general manager of the company. Both the undersigned and Studly Brewing LLC., may end the employment relationship at any time without specified notice or reason. If employed, I understand that the company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the company from any liability as a result of such contact.
I also understand that (1) the company has a drug and alcohol policy that provides for pre- employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.
I understand that, in connection with the routine processing of your employment application, the company may request from a consumer reporting agency an investigative consumer report including information as to my credit reports, character, general reputation, personal characteristics, and mode of living. Upon written request for me, the company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the fair credit reporting act.
I further understand that my employment with the company shall be probationary for a period of 60 days, and further that anytime during the probationary period or thereafter, my employment relation with the company is terminable at will for any reason by either party.
Electronic Signature
Date
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