Brown Bag Liquor Employment Application

Employment Application

Fill out information below to the best of your knowledge. We are located at 1078 W Santa Fe St in Olathe, KS 66061
Have you ever been convicted of a felony?*

YesNo
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

MonthDayYear
Used to verify you are 21 years of age or older
Are you entitled to work in the United States?*

YesNo
Notes:
Name*

First NameLast Name
Phone Number*
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What position are you applying for?*

PT Sales Clerk (16-24 hours per week- starting at $15/hr)FT Sales Clerk (32-40 hours per week - starting at $15/hr)
Date Available to Start*

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

*Currently hiring for Full or Part Time Sales Clerk, AM/Mid/PM Shifts
*Must be available to work at least 1-2 weekend days (Fri, Sat or Sun)

Retail Sales Clerk:

AM Shift: No more than an 8 hour shift between the hours of 8:30am-5pm
Mid Shift: No more than an 8 hour shift between the hours of 11am-8pm
PM Shift: No more than an 8 hour shift between the hours of 3pm-11pm

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

Delivery Driver Availability:

	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
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Prior Work Experience

Please list 2-3 prior jobs
Current or Most Recent:
May we contact your previous employer?

YesNo
Prior:
May we contact your previous employer?

YesNo
Prior:
May we contact your previous employer?

YesNo
References

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

Clear
Should be Empty:

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

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