Career Application

Career Application

Personal Information
Full Legal Name*

PrefixFirst NameMiddle NameLast NameSuffix
Social Security Number *
Please enter without dashes.
Date of Birth*

MonthDayYear
All applicants must be at least 21 years of age.
Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Have you ever been convicted of, or plead no contest to, a felony of any kind?*
The State of Kansas Alcohol and Beverage Control regulates hiring guidelines, and any conviction or plea of no contest prevents us from extending employment offers.
What position are you applying for?*
Which days would you be available?*
This is only the times you would be available to work. It does not guarantee you will be scheduled during all of your selections.
Desired Pay
Previous Employment History

Please complete as much information about your past two years of employment history.
Current/ Most Previous Employer:*
Current/ Most Previous Position:*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
If currently employed still, please enter todays date.
Reasons you liked working here?*
Why did you leave this position, or looking to leave?*
Supervisors Name*
Supervisors Phone Number
May we contact your last employer?

YesNoYes, after offer
Resume

Only PDF submissions will be accepted.
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I AGREE TO THE FOLLOWING:*

I agree that Dix Liquors may complete a full background check, including criminal, employment, education verification. All employment offers are subject to a successful background check.I agree to submit to drug and alcohol tests, prior to, during, and post accident, or a when required by the insurance company, State Agency, or when suspected of use while on duty.
By signing this application, I attest that all of my answers are accurate to the best of my knowledge. I further agree that should it be found that I have lied or did not accurately communicate this information, I may be terminated, if employed, or the offer of employment may be revoked. *

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Career Application

Previous Employment History