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Career Application Form

Position Applying For
Area interested in:

General Information
Full Name:
Driver's License:
Driver's License State:
Maiden/Former Name(s):
Email:
Primary Phone:
Address:
If not a resident at current address for 2 years, give previous address & phone number:
Lived there from:
Lived there to:
Are you a United States citizen or legally authorized to work in the United States? (All persons; upon hiring, must verify eligibility to be employed in the United States.)
List states and counties of residence for the past 7 years:
Do you have any relatives or friends working for this company?
If yes, give name and department:
Have you ever worked for this company before?
If yes, give name and department:

Emergency Contact Information
Name:
Address:
Phone:

Job Interest
Position Applying For:

Referred By:
Type of employment desired (check one):
Shift Preference:
Salary Required:
Do you have a current, valid State issued permit to serve alcohol:
Do you have a current, valid State issued permit to serve food:
Do you have reliable transportation to get to work?
How many hours do you want to work each week?
Available Start Date:

High School Education
Name:
From Date:
Did you graduate?
Diploma Earned:

College Education
Name:
From Date:
To Date:
Did you graduate?
Major / Degree:

Other Education
Name:
From Date:
To Date:
Did you graduate?
Major / Degree:

Reference #1
Name:
Address:
Phone:
Occupation:

Reference #2
Name:
Address:
Phone:
Occupation:

Employment History
May we contact your present employer for a reference?

Employment History Employer #1
Name:
Address:
Department:
Supervisor:
Phone:
Employed From:
Employed To:
Salary:
Job Title & Description of Duties:
Reason For Leaving:
Were you Fired?

Employment History Employer #2
Name:
Address:
Department:
Supervisor:
Phone:
Employed From:
Employed To:
Salary:
Job Title & Description of Duties:
Reason For Leaving:
Were you Fired?

Employment History Employer #3
Name:
Address:
Department:
Supervisor:
Phone:
Employed From:
Employed To:
Salary:
Job Title & Description of Duties:
Reason For Leaving:
Were you Fired?

Special Skills & Qualifications
Please summarize special skills, qualifications, and civic, social or professional memberships:

Application Confidentiality
Disclaimer: I agree that by applying online, I agree to McGrath's privacy policy and that information provided will be kept confidential.