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Employment Application

Fish Moon Brewing Company is an Equal Opportunity Employer

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Are you over the age of 18 *

Are you a US Citizen? *

If no, what is your Green Card Number

Position Desired *

Date you can start employment? *

Salary Desired (in $ per hour)

Are you currently employed? *

May we contact your employer?

Schedule Availability *

What is your highest level of education? *

Former Employment

Name of Employer

Date From

Date To

Position

Reason for leaving

Name of Employer

Date From

Date To

Position

Reason for leaving

Name of Employer

Date From

Date To

Position

Reason for leaving

References

Give the names of three persons not related to you, whom you have known for at least one year. One must be a person from a professional relationship.

Name *

First

Last

Phone *

Relationship *

Name *

First

Last

Phone *

Relationship *

Name *

First

Last

Phone *

Relationship *

Relevant Experience

Have you ever worked with food service computers before?

If yes, which type(s)

Do you currently have a valid Indiana ATC servers permit? *

If no, are you able to obtain a servers permit prior to employment?

Why would you be an asset to Fish Moon Brewing Co.? *

In case of Emergency, please notify: *

First

Last

Relation to you? *

Phone *

During the past 5 years, have you ever been convicted of, plead guilty to, or pled no contest to a crime, excluding misdemeanors or traffic violations? *

If yes, please describe

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relavent federal and state laws."

Name *

First

Last

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