Employment

First Name *

Last Name *

Address *

Apt or Unit #

City *

State * Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

Zip *

Phone *

Email *

Position applying for *

Date available to start

Salary Requirements

Type of employment desired * --Choose-- Full time Part time Temporary Season

Are you a citizen of the United States* --Choose-- Yes No

If no, do you have work papers? --Choose-- Yes No

Do you have a valid driver's license? --Choose-- Yes No

How were you referred to Graystone Ale House?

If you are under 18 and we require a work permit, can you furnish one? --Choose-- Yes No

If no, please explain:

Please summarize your special skills or qualifications for this position in the space provided below.

High School

Name *

City *

State * Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP *

# years completed *

Did you graduate? * --Choose-- Yes No

College

Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP

# years completed

Did you graduate? --Choose-- Yes No

Other School

Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP

# years completed

Did you graduate? --Choose-- Yes No

Job 1

Company Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP

Position(s) held

Supervisor name

Starting salary and title

Ending salary and title

Responsibilities

Reason for leaving

May we contact this employer for reference? --Choose-- Yes No

Job 2

Company Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP

Position(s) held

Supervisor name

Starting salary and title

Ending salary and title

Responsibilities

Reason for leaving

May we contact this employer for reference? --Choose-- Yes No

Job 3

Company Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

ZIP

Position(s) held

Supervisor name

Starting salary and title

Ending salary and title

Responsibilities

Reason for leaving

May we contact this employer for reference? --Choose-- Yes No

Reference 1

Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

Zip

Phone

Reference 2

Name

City

State Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washiington West Virginia Wisconsin Wyoming

Zip

Phone