Employment application

About You

First name *

Middle name

Last name *

Email *

Phone *

Social Security number

Birthday *

Home address

Street address *

Apt / suite

City *

State *

Zip code *

Are you legally eligible to work in the U.S.? *

Yes

No

If no, please explain

Have you worked at Old School Cider House before?

Yes

No

If yes, when?

Have you been convicted of a misdemeanor or felony?

Yes

No

If yes, please explain

Do you consent to a background check?

Yes

No

If no, please explain

Military

Did you serve in the military?

Yes

No

Branch

Rank

From

To

Discharge

Honorably

Dishonorably

Still active

If Dishonorably, please explain

Recent Jobs

List up to three jobs, starting with the most recent. Leave a job blank if you do not have one.

Job 1

Employer

Role

Phone

Email

From

To

Starting pay

Ending pay

Responsibilities

Reason for leaving

Job 2

Employer

Role

Phone

Email

From

To

Starting pay

Ending pay

Responsibilities

Reason for leaving

Job 3

Employer

Role

Phone

Email

From

To

Starting pay

Ending pay

Responsibilities

Reason for leaving

References

Three people who have worked with you. A manager is best.

Reference 1

Full name

Relationship

Phone

Email

Reference 2

Full name

Relationship

Phone

Email

Reference 3

Full name

Relationship

Phone

Email

Availability

Days and shifts you can work *

Old School Cider House is an equal opportunity employer. If this application leads to a job, false or misleading answers can end that employment.

I certify that these answers are true and honest to the best of my knowledge. *