ABC Application for Employment

Application for Employment

All applicants are subject to a pre-employment drug screen and background check. The Asheville ABC Board is an equal opportunity employer.
PERSONAL INFORMATION
Are you at least 21 years of age?

YesNo
Please enter date of birth below:

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you lived at the above address less than 1 year; list previous address:
Phone Number*
E-mail*
example@example.com
Are you a U.S. Citizen? (Proof of Citizenship or Immigration status is required upon employment.)

YesNo
Have you ever been convicted of a misdemeanor or a felony other than a minor traffic violation?

YesNo
If Yes, please explain:
Have you ever been dismissed or forced to resign for cause from a prior job?

YesNo
If Yes, please explain:
Have you ever been employed by the Asheville ABC Board or another ABC Board, or an establishment which served alcohol?

YesNo
If Yes, please explain:
EMPLOYMENT DESIRED
Position Applying For
Date You Can Start

MonthDayYear
Date
Specific Days You Can Work
Specific Times/Hours You Can Work
EDUCATION
Please select the highest level of education you have completed:
Name of Institution
Name of College/University Attended
Diploma/Degree

YesNo
Area of Study/Degree
Year Graduated
Honors/Recognition
Describe specialized Training, Apprenticeship or Skills
Special Skills and Qualifications
EMPLOYMENT EXPERIENCE

List in consecutive order, beginning with present or most recent employment.
Current Employer
Name of Current Employer or NONE if not Employed
Position
Phone Number
Address
Hourly Rate/Salary ($)
Reason for Leaving?
Supervisor Name
May We Contact?

YesNo
Previous Employer #1
Name of Previous Employer
Position
Phone Number
Address
Hourly Rate/Salary ($)
Reason for Leaving?
Supervisor Name
May We Contact?

YesNo
Previous Employer #2
Name of Previous Employer
Position
Phone Number
Address
Hourly Rate/Salary ($)
Reason for Leaving?
Supervisor Name
May We Contact?

YesNo
REFERENCES

Name, years acquainted, address and phone number of minimum three (3) references (must NOT related to you and NOT previous employers)
Reference #1
Reference #2
Reference #3
RESUME (optional):
Resume

Cancelof
CONSENT TO BACKGROUND & REFERENCE CHECK

I hereby consent and allow the Asheville Board of Alcoholic Control through its designee the authority to obtain and verify the information provided on my application for employment. This includes my personal background, local criminal record search, character, professional standing, work history and qualifications.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security Number*
Driver's License Number
State of Issuance
SEND APPLICATION

I certify that all the information submitted by me on this application is true and complete and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the Board’s Personnel Policy. I understand the provisions of the Personnel Policy is not a contract of employment, and that I do not have a specific or defined term of employment or an expectation of continued or future employment.
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

Application for Employment

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

EMPLOYMENT EXPERIENCE

REFERENCES

RESUME (optional):

CONSENT TO BACKGROUND & REFERENCE CHECK

SEND APPLICATION