Blocks EMPLOYMENT APPLICATION

 
ABOUT THE APPLICANT
Position(s) Applying For:
First Name :
Middle Name:
Last Name :
Address:
City: State: Zip Code:
Email:
Phone:
Have you ever been employed by the Asheville ABC board or any other ABC board before?
If yes, please explain:
Do you have any relatives who are currently employed at the Asheville ABC Board?
If yes, give name : relationship:
Are you legally eligible to work in the United States?
(Proof of citizenship or immigration status is required upon employment.)
What date will you be available to start to work?
Are you available to work:
What days and hours are you available to work?(Please be specific)
Have you ever been convicted of a misdemeanor or a felony other than a minor traffic violation? (Conviction of a D.W.I. normally will disqualify the applicant from employment. Being charged with a crime will not necessarilly disqualify an applicant from employment.)
If yes, please explain:
Are you at least 21 years of age?  
Do you have reliable means of transportation to get to work?
If yes, what are your means of transportation?

EMPLOYMENT EXPERIENCE

List in consecutive order, beginning with present or recent employment.

Employer: Phone:
Address:
Dates Employed:
Hourly Rate/Salary
(starting & final)
Job Title: Supervisor:
Reason for leaving:
Employer: Phone:
Address:
Dates Employed:
Hourly Rate/Salary
(starting & final)
Job Title: Supervisor:
Reason for leaving:
Employer: Phone:
Address:
Dates Employed:
Hourly Rate/Salary
(starting & final)
Job Title: Supervisor:
Reason for leaving:
Employer: Phone:
Address:
Dates Employed:
Hourly Rate/Salary
(starting & final)
Job Title: Supervisor:
Reason for leaving:
SPECIAL SKILLS & QUALIFICATIONS
Summarize any special skills and/or qualifications acquired from an employment or other experience:
List any current licensure or certification that you hold:
EDUCATION
Please select the highes level of education you have completed:
Diploma/Degree
Describe Specialized Training, Apprenticeship and Skills:
Honors Received:

REFERENCES
Name:
Address:
Phone:
eMail:
Name:
Address:
Phone:
eMail:
Name:
Address:
Phone:
eMail:
I have read the Statement of Application.