Employment Form

Job Application

Contact Info

First Name

Middle Initial

Last Name

Phone

Date

Address

Address Line 2

City

State

Zip

Date Available

Position Applied For

Desired Salary

Are you a citzen of the United States

Yes

If no, are you authorized to work in the U.S.

Yes

Do you have a car/reliable transportation?

Yes

Do you have a cell phone?

Yes

Do you smoke?

Yes

Are you with us on Facebook/social media

Answer 1

Answer 2

Answer 3

Have you ever worked for this company

Yes

If yes, when

Have you ever been convicted of a felony

Yes

If yes, explain

Experience

Employer 1 (Most Recent)

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous employer for a reference

Yes

Employer 2

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference

Yes

Employer 3

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference

Yes

Education

School 1

High School

Location

Start Date

End Date

Did you graduate?

Yes

Diploma

School 2

Collge

Location

Start Date

End Date

Did you graduate?

Yes

Degree

School 3

Other

Location

Start Date

End Date

Did you graduate?

Yes

Degree

References

Name

Contact #

Years Known

Name

Contact #

Years Known

Name

Contact #

Years Known

Other Realted Skills

(include if you are currently TAM or Alcohol Certifed, Servsafe Certified

Hours of operation are from 11:00AM - 2:00AM daily. Scheduled shifts can vary from 9:00AM until close

Hours per week desired

Full Time

Part TIme

Double-click here to add a label

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Day Shift or Evening Shift

Day Shift

Evening Shift

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 of misleading information in my application of interview may result in my release.

By clicking the above button, I consent to be contacted by M. J. Ventures - Upper Cut and Webit, Inc. at any email address or telephone number I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgement constitutes my written consent to receive such communications. I agree and consent to any applicable Terms and Conditions of Use or Privacy Policy available on this website.

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