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We are an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability or veteran status.

 
Full Name: *
Address: *
Your Phone Number: *
Email:
Position: *
Location Blue Springs, MO
Lee's Summit, MO
Type of Employment:
Are you legal age to sell alcohol?: *
Are you willing to work overtime if required?: *
What are your shift preferences?: *
Date available to start work: *
 Are you legally eligible to work in the United States?: *
Desired starting salary or hourly wage?: *
 Have you ever been convicted of a crime?:
 EDUCATION  
High school:
Date Graduated High school:
College:
Date Graduated College:
Military Service:
   
LIST TWO PERSONS WHO HAVE KNOWN YOU FIVE YEARS OR MORE  
First Reference Name *
First Reference Relationship to you: *
First Reference Phone Number: *
Second Reference Name *
Second Reference Relationship to you: *
Second Reference Phone Number: *

 
FORMER EMPLOYERS   
1. Name of Employer: *
1. Supervisor Name: *
1. May we contact your supervisor?:
1. Supervisor Phone Number: *
1. Job Title: *
1. Wages: *
1. Date started: *
1. Last day worked: *
1. Describe the duties of this position: *
1. Why did you leave this position?: *
2. Name of Employer:
 2. Supervisor Name:
2. May we contact your supervisor?:
2. Phone Number:
2. Job Title:
2. Wages:
2. Date started:
2. Last day worked:
2. Describe the duties of this position:
2. Why did you leave this position?:
3. Name of Employer:
3. Supervisor Name:
3. May we contact your supervisor?:
3. Phone Number:
3. Job Title:
3. Wages:
3. Date started:
3. Last day worked:
3. Describe the duties of this position:
3. Why did you leave this position?:
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