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Peppercorn Application

Peppercorn of Traverse City

Sales Associate Application

Mr. Bill's Application

Last Name:

First Name:

Middle Initial

Today's Date:

Street Address:

Apartment/ Unit #:

City, State, Zip Code:

Phone Number:

Email:

Date Available to Start:

Desired Pay:

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever been convicted of a felony?

Yes

No

If you have been convicted of a felony, please briefly explain.

High School:

Did you graduate?

Yes

No

Still attending

College:

From:

To:

Graduate?

Yes

No

Still attending

Professional Reference Full Name:

Relationship:

Company:

Phone Number:

Address:

Professional Reference Full Name:

Relationship:

Company:

Phone Number:

Address:

Most Recent Employer:

Phone Number:

Address:

Supervisor

Job Title:

Starting Pay:

Ending Pay:

Responsibilities:

Start Date:

End Date:

Reason For Leaving:

May we contact your previous supervisor for a reference?

Yes

No

Previous Employer:

Phone Number:

Address:

Supervisor:

Job Title:

Starting Pay:

Ending Pay:

Responsibilities:

Start Date:

End Date:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes

No

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that any false or misleading information in my application or interview may result in my release. Please sign below:

Date:

Thank you for applying at Peppercorn of Traverse City! We will be in contact very soon.

-Peppercorn of TC Team

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