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Locations Applying To:

TAP HOUSE

PUBLIC HOUSE

HARBOR HOUSE

JOHN RUSSELL BREWING CO. BREW HOUSE & RESTAURANT

Preferred Location of Choice to work at:

TAP HOUSE

PUBLIC HOUSE

HARBOR HOUSE

JOHN RUSSELL BREWING CO. BREW HOUSE & RESTAURANT

First Name:

Last Name:

Middle Name:

Address:

Email:

Phone:

Position(s) applied for:

Available for work date:

Are you available to work overtime?

Yes

No

State age if under 18:

Do you want to work:

Full Time

Part Time

Preferred days & hours:

Referred sources:

Advertisment

Agency

Family/Friend

Walk-in

Other

If other, please explain:

Have you ever applied or been employed by U Pick 6 Pubs & Restaurants??

Yes

No

If yes, please list job & date:

List any friends or relatives currently employed by this company:

Resume

Begin with your present or last job & state experiences over the past five years. Include military assignments, part-time and/or volunteer service.

Are you employed now?

Yes

No

If yes, may we contact your present employer:

Yes

No

If no, explain why:

Company 1

Company Name:

Phone:

Address:

Name of Supervisor & Title:

State Title and Describe Your Work:

Reason for Leaving:

Start Date:

End Date:

Start Salary:

End Salary:

Company 2

Company Name:

Phone:

Address:

Name of Supervisor & Title:

State Title and Describe Your Work:

Reason for Leaving:

Start Date:

End Date:

Start Salary:

End Salary:

Please Include the name of the school, the schools address, course of study taken, dates attended and degree/diploma received.

High School:

College:

Other:

Additional Information

Are you a veteran of the u.s. military services?

Yes

No

If yes, name branch:

I certify all statements given herein are true and complete. If employed, i understand that false or misleading statements given in my application or interview may result in termination, regardless of the time they are discovered

I authorize investigation of all statements contained in the application and any attachments for employment as may be necessary in arriving at an employment decision. I hereby release the company and all persons and organizations, from all claim and liabi

I understand that u pick 6 is a drug free work place and that my employment or offer of employment may be contingent upon successfully passing a drug test prior to employment. I further understand that any time during my employment if a drug test is given

I understand that I am required to abide by all rules and regulation of the company.

I understand and agree that if employed, my employment with the company is at will and that nothing contained in this application is intended to promise or guarantee employment for any specific time.

Signature of Applicant:

Date:

Employment

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Employment Application