Brown Bag Liquor Employment Application

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

Used to verify you are 21 years of age or older

YesNo

Notes:

Name*

First NameLast Name

Phone Number*

Format: (000) 000-0000.

YesNo

Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PT Sales Clerk (16-24 hours per week- starting at $15/hr)FT Sales Clerk (30-40hours/week - currently only available for MidShift position - $15/hr)

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 March 12th, 2026 - Currently hiring for:

Part Time Sales Clerk AM - (6-8 hour shift between 9am-5pm)
Part Time Sales Clerk - PM* (6-8 hour shift between 3pm-11pm, latest arrival 5pm)
Part/Full Time Clerk - Mid Shift (6-8 hour shift between the hours of 10am-7pm)
*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)

Retail Sales Clerk:

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:

YesNo

Prior:

YesNo

Prior:

YesNo

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