Brown Bag Liquor Employment Application

Have you ever been convicted of a felony?

Kansas State Law:

A felony conviction prohibits anyone from working in a retail liquor store. A felony must be expunged to work as an employee who serves, mixes and dispenses alcohol or manages employees who handle alcohol.

You must be at least 21 years of age:

The state of Kansas requires retail liquor store employees be at least 21 years old to sell alcohol.

Date of Birth

Used to verify you are 21 years of age or older

Are you entitled to work in the United States?

Notes:

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

May we contact you via text message regarding your application and interview scheduling?

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date Available to Start

Date

Store Hours:
Mon-Sat 9am-11pm
Sunday 10am-8pm
Open 362 days per year. Closed Easter, Thanksgiving & Christmas

As of July 30th, 2026 - Currently hiring for:

Retail Sales Associate (PT) - $15/hr
Customer service, cashiering, stocking shelves, checking IDs, cleaning, and general store duties.
6-8 hour shift between 9:00am-5:00pm; Sun between 12pm-8pm
AM & Mid Shifts
*Must be available to work at least 1-2 weekend shifts (Fri, Sat or Sun)

Beer & Stock Associate (PT) - $15/hr
Stocking shelves and the beer cooler, rotating inventory, building displays, and assisting customers/register as needed.
Flexible shifts between 10:00am-5:00pm; Sun 12pm-8pm
AM & Mid Shifts
*Must be available to work at least 1-2 weekend shifts (Fri, Sat or Sun)

*Must be able to work weekends/holidays/peak season (closed Easter, Thanksgiving & Christmas)

What position are you applying for?

Availability:

Rows	AM Shift	Mid Shift	PM Shift	Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Delivery Driver Availability:

Rows	Available 7:30am-3:30pm	Not Available
Tuesday
Wednesday
Thursday
Friday

How many hours/week would you prefer?

Each shift is 6-8 hours

If this is a second job, please note the earliest time you would be able to arrive for a PM shift. (Latest arrival time for PM shift is 5pm)

Resume (if applicable)

** Can also upload examples of work if applying for social media marketer

Prior Work Experience

Please list 2-3 prior jobs

Current or Most Recent:

May we contact your previous employer?

Prior:

May we contact your previous employer?

Prior:

May we contact your previous employer?

References

Please list two (2) references that are familiar with your work life.

Reference

Signature: By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me form being hired of lead to my dismissal if hired.

Employment Application

Kansas State Law:

You must be at least 21 years of age:

Store Hours:Mon-Sat 9am-11pmSunday 10am-8pmOpen 362 days per year. Closed Easter, Thanksgiving & Christmas

Store Hours:
Mon-Sat 9am-11pm
Sunday 10am-8pm
Open 362 days per year. Closed Easter, Thanksgiving & Christmas