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Job Application

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Applicant Information

First Name

Email

Last Name

Phone

Street Address

City

State

Zip Code

Are you over the age of 18?

Yes

No

Are you over the age of 21?

Yes

No

Select Position

Available start date

Have you worked for our us before?

Yes

No

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever been convicted of a felony?

Yes

No

If yes, please explain circumstances

EDUCATION

High School

From

Address

To

Did you graduate?

Yes

No

College

From

Address

To

Did you graduate?

Yes

No

References

Please list two professional references

Full Name

Company

Relationship

Phone

Full Name

Company

Relationship

Phone

Previous Employment

Company

Job Title

May we conact your supervisor?

Yes

No

Address

Phone

Supervisor

Disclaimer & 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.

Your Signature

Thanks for submitting!

Bandito Barney's Beach Club

10 N. River Street

East Dundee, IL 60118

P (847)426-7300

F (847)426-7203

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