Butler Application

Valet Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Phone Number*
Primary
Gender

MaleFemalePrefer Not to Answer
Are You a Part of a Fraternity/Sorority?*
Which One?*
Were You Referred to Us By Someone?*
Who Can We Thank for the Referral?*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Four Digits of Your Social Security Number
Date of Birth*

MonthDayYear
Email Address*
Are you currently employed?*

YesNo
May we contact your current employer?

YesNoN/A
Contact info:
Work Availability
Are there any restrictions on when you can work?
Please explain.
When would you be available to start?

MonthDayYear

Educational Background

Please include the name of the institutions, courses studied, and years of enrollment.
High School
College
Graduate School
Other
Describe any specialized skills or training that you have:
Hobbies, Talents, Volunteer work, and interests:
Employment History
Most recent employer
Supervisor's Name
Telephone Number
Job Title
Dates of Employment
Start Date - End Date
Rate of Pay
Work Performed
Reason for Leaving

Applicants Statement

By pressing submit, I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
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DUI
Reckless Driving
Negligent Driving
Eluding a police officer
Driving under the influence of narcotics
Speeding ticket

Valet Job Application