ETB Application Form

Employment Application

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

First Name Middle Name Last Name

Current Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
Email Address *
Position Applying for *
Desired Salary
Per Hour
Available Start Date

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Are you at least 21 years of age? *

Yes No
Are you legally eligible for work in the United States? *

Yes No
Have you ever worked for this company? *

Yes No
When did you work for this company?

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References

Please list at least three (3) position relevant references.

Provide as much information below as possible. *

	First & Last Name	Company	Relationship	Address	Phone Number
Reference 1
Reference 2
Reference 3

Previous Employment

Please list seven (7) years of employment history, most recent first.

Provide as much information below as possible.

	Company	Address	Phone	Job Title	Date Started	Date Ended	Reason for Leaving	May We Contact for a Reference?
Employer 1

Please list any job responsibilities or skills used during this employment.

Please list any job responsibilities or skills used during this employment.

Please list any job responsibilities or skills used during this employment.
Have you served in any branch of the United States Armed Forces?

Please list any responsibilities or duties you performed while in service.

Upload Resume (optional)
Upload Cover Letter/Supporting Documents (optional)
Please sign below in acknowledgement that:

Edward Teach Brewery, LLC is an equal opportunity employer and does not discriminate in employment on account of race, color, religion, sex, age, national origin, disability status, protected veteran status, or any other characteristic protected by law.

I understand that neither the completion of this application nor any other part of my consideration of employment establishes any obligation for Edward Teach Brewery, LLC to hire me. If I am hired, I understand that either I or Edward Teach Brewery, LLC can terminate my employment at any time and for any reason, with or without cause and without notice.

I attest with my signature below that I have given to Edward Teach Brewery, LLC true and complete information on this application. No requested information has been concealed. I authorize Edward Teach Brewery, LLC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
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Date *

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