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Date you can start work

Salary Desired

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Position Information

Position Applying for

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Have you ever been convicted of a felony?

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Please Explain

Can you perform these essential functions of the job with or without reasonable accommodation?

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Qualification

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List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

References

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

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Ending Salary

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Job Title

Company Name

Supervisor's Name

Phone Number

Duties

Start Date

End Date

Starting Salary

Ending Salary

Reason for Leaving

May we contact employer?

Yes

No

Add Another Job?

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Job Title

Company Name

Supervisor's Name

Phone Number

Duties

Start Date

End Date

Starting Salary

Ending Salary

Reason for Leaving

May we contact employer?

Yes

No

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party

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Join the Team!

Fast paced fun job at family owned liquor store. Must be good with customers. Stocking and/or cashier. Looking for people with flexible hours for night until 8PM & weekends.

Personal Information

Position Information

Qualification

Special Skills

References

Work History

Whitehouse Liquor & Wine is located at 650 Hylan Drive in Rochester and open 7 days a week.