Online Employment Form
Your Contact Information
Store Applying To:
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NEW - Galena, IL
NEW - Fond du Lac, WI
NEW - St. Peters, MO
Aledo, IL
Bettendorf, IA
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JOB POSITION
Provide Details About The Position You're Applying For
Position Applying For?
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Cook
Counter
Delivery Driver
Dishwasher
Management
Server
Hours Availability?
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Full Time
Part Time
Seasonal
Click dropdown to select
Select Shift Availability
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Mornings
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Thursday
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Position Details.
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Salary Desired
Date Available
Are You 18 years or older?
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Yes
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Are you a US Citizen?
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Yes
No
No (Authorized to work in US)
Have you ever worked for Happy Joe's?
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Yes
No
If yes, tell us about where and when.
Type above in the box
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain.
Type above in the box
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EDUCATION
Information About Your Academic Accomplishments
High School
*
College (if applicable)
Other (if applicable)
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Employment History
List Last Three Employers - Beginning With Current Employer
1) Employer
Company Name
City & State
Business Location
Employer Phone Number
-
Area Code
Phone Number
Job Title
Employed From
From: Month/Year to Month/Year
Reasons for Leaving
Ending Pay
2) Employer
Company Name
City & State
Business Location
Employer Phone Number
-
Area Code
Phone Number
Job Title
Employed From
From: Month/Year to Month/Year
Reasons for Leaving
Ending Pay
3) Employer
Company Name
City & State
Business Location
Employer Phone Number
-
Area Code
Phone Number
Job Title
Employed From
From: Month/Year to Month/Year
Reasons for Leaving
Ending Pay
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References
Provide up to Three Personal or Professional References
Reference #1
*
First Name
Last Name
Company
Where They Currently Work
Phone Number
*
-
Area Code
Phone Number
Relationship
Boss, Teacher, Friend, Family
Reference #2
First Name
Last Name
Company
Where They Currently Work
Phone Number
-
Area Code
Phone Number
Relationship
Boss, Teacher, Friend, Family
Reference #3
First Name
Last Name
Company
Where They Currently Work
Phone Number
-
Area Code
Phone Number
Relationship
Boss, Teacher, Friend, Family
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Military
Information About Your Military Service (if applicable)
Have you served in the military?
Yes
No
Service Information (if applicable)
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Disclaimer & Signature
I certify that all my answers are true to the best of my knowledge.I understand that any false or misleading information on my application or interview can result in termination if hired.
Electronic Signature
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