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APPLICATION FOR EMPLOYMENT
(PRE-EMPLOYMENT QUESTIONAIRE)
(AN EQUAL OPPORTUNITY EMPLOYER)
Name 
Street Address 
City 
Zip Code 
Social Security Number 
Date You Can Start
Address Cont
State/Province  
Phone Number 
Position Applying For:  
HOURS AND DAYS YOU ARE AVAILABLE TO WORK
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1)  BECAUSE OF STATE LIQUOR LAWS ARE YOU AT LEAST 18 YEARS OF AGE?
 

2)  ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS
      COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?  

EDUCATION
Are you certified in Food Service Management

High School
College
Trade, Business or Correspondence
Name and State
# Years Attended
Did you graduate?
Major



Military Service
Military Service Branch
Rank
Still a member

References
Name
Phone Number
Relationship

Years Known
Name
Phone Number
Relationship

Years Known
Name
Phone Number
Relationship

Years Known
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.

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