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2021 Employment Application T&C Lanes
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
E-mail Address
*
Your answer
Street Address
*
Your answer
City, State and Zip Code
*
Your answer
Have you ever been convicted of a felony?
*
Yes
No
If you have been convicted of a felony, please explain.
Your answer
What positions are you interested in?
*
Bartender
Cocktail Server
Pinchaser / Cook
Required
Do you have any experience in any of these fields?
*
Yes
No
If yes, please explain when and where.
*
Your answer
If seeking a bartender position, do you have a current City of Burlington bartender's license?
*
Yes
No
Are you involved in any school sports or extracurricular activities? Please indicate all seasons that apply.
*
Spring
Summer
Fall
Winter
None
Required
Are you available on short notice to help fill in should someone be unable to work?
*
Yes
No
Are you available to work weekends? Day and or Night shifts? Please select all that apply to your availability.
*
Weekends
Day Shifts
Night Shifts
Required
Do you have a reliable mode of transportation to get to and from work?
*
Yes
No
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