Application For Employment Page 2

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Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for work with our company.
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________________________________________________________________________________________________________________________
Educational Background
Name and Location
Years Completed
Did You Graduate?
Course Study
High School
College
Major
Degree
Other
3 Business References
Name
Telephone
Years Known
Area Code
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Area Code
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Area Code
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It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application
and/or separation from the Employer’s service if I have been employed.
I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability
the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such
information.
The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for
the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be
. Initial Here__________________
considered for employment, it will be necessary to fill out a new application
I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without
cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.
Signature of Applicant ___________________________________________________________ Date ________/________/________
We hire based on your potential skill ability at being outgoing and willing to talk to customers. We,
also, will work to give you your most important needed days off. So below here give your
availability for working. We are looking for people to work what’s needed so no one gets stuck with
a bad schedule. If the hours you are available do not match our needs, we will file your application
for 60 days in case our needs change. Thank you for choosing Kansas Sampler/Rally House, known
for great customer service.

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