Date: Position Applying For:
How Did You Hear of Job?



If other, please list:
 
   
Personal Information  
   
First Name:   Middle Int:   Last Name:
Social Security Number:  
Street Address:   City:   Zip:
1st Phone:     2nd Phone:
Are you at least 21 yrs. old? Yes No Total Hours Available Per Week:
What days are you available:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Have you ever had an Alcohol Beverage Permit?
  
No   Yes 
 If Yes, is it Still Valid?

No   Yes
How long do you plan to stay in the area?

Please list your wine, liquor, and/or beer knowledge:

   
Work History  
   
Company: City/State:
Phone: Position:
Start: End: Salary:
Reason for leaving: Supervisor:
   
Company: City/State:
Phone: Position:
Start: End: Salary:
Reason for leaving: Supervisor:
   
Company: City/State:
Phone: Position:
Start: End: Salary:
Reason for leaving: Supervisor:
   
What relevant special skills or abilities qualify you to specifically work for Big Red Liquors, Inc.?

   
During the past 7 years, have you ever been convicted of or plead guilty to a crime, excluding misdemeanors and traffic violations?*

Yes No


If Yes, please explain in full detail:



*A conviction will not necessarily bar you from employment.
   
Education  
   
High School/City/State: Years Attended:
Graduate: Yes No Major:
   
College/City/State: Years Attended:
Graduate: Yes No Major:
   
Additional Education/Training/Special Skills:

   
Essestial Functions  
   
Sales Clerks and store manager positions at Big Red Liquors, Inc. may require heavy lifting and repetitive bending; ability to stand on your feet for long periods of time; and operate a cash register/computer. Based upon this information, is there any reason why you would not be able to perform the essential functions of these postions as they are described to you?

Yes No

If yes, what accommodations would you require to perform these essential functions:

   
Applicant's Statement:  
   
By clicking Submit below I certify that the information contained within this application are true and complete to the best of my knowledge and that if I am hired, falsified statements on this application are grounds for dismissal. I authorize Big Red Liquors, Inc. to investigate all statements contained in this application and contact all previous employers or references. I release all parties from all liability for damage that may result from furnishing said information to Big Red Liquors, Inc. I understand and agree that Big Red Liquors, Inc. supports an "employment as-will" policy and, if hired, my employment is not for a definite period of time and may be terminated at any time without prior notice. Additionally, if I am hired, Big Red Liquors, Inc. may alter or change my position, wages, and employment terms at any time in addtion to any company policy as it deems appropriate.

I further acknowledge that as a contingency of my employment with Big Red Liquors, Inc. I will be required to furnish a Police Records check from the local Police Station as well as obtain/provide a valid Alcohol Beverage Permit as well as proper identification documents to prove I am eligible to work in the United States.