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MILLER'S ROAST BEEF EMPLOYMENT APPLICATION

 

Applicant Information

APPLICANT INFORMATION
First Name: Last Name:
Street Address Apartment/Unit#
City: State    Zip
Phone: Email:
Date Availiable: Desired Salary:
Position Applied for:  
Are you a citizen of the United States? Yes No If no, are you authorized to work in the US?
Yes No
Have you ever worked for this company?
Yes No
If yes, when?
Have you ever been convicted of a felony?
Yes No
If yes, please explain:
Which Location do you prefer (choose one)? East Providence, RI
S. Attleboro, MA
   
EDUCATION
High School: Address:
From To Did you graduate? Yes No
College: Address:
From To Did you graduate? Yes No
Other: Address:
From To Did you graduate? Yes No
   
REFERENCES
Please list three professional references.  
Name: Relationship:
Company: Phone:
Address  
   
Name: Relationship:
Company: Phone:
Address:  
   
Name: Relationship:
Company: Phone:
Address:  
   
PREVIOUS EMPLOYMENT
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary:
Responsibilities: Ending Salary:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No
   
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary:
Responsibilities: Ending Salary:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No
   
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary:
Responsibilities: Ending Salary:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No
   
MILITARY SERVICE
Branch: From: To:
Rank as Discharge: Type of Discharge:
If other than honorable, explain:
   
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature: Date: