Careers Application

Position are you applying for?:*

Location:*

Type of Employment Desired:*

Available start date:*

First Name:*

Last Name:*

Address Line:*

City:*

State:*

ZIP Code:*

Phone Number:*

Email:*

Are you at least 18 years of age? (If under 18, hire is subject to verification that you are of minimum legal age and possess a valid work permit if applicable.)

  Yes        No

Are you legally eligible for employment in the United States? (Proof of citizenship or immigration status will be required upon hire)

  Yes        No

Have you ever been employed with Mission Liquor?

  Yes        No

If yes, when and why did you leave:

Have you ever, under your name or another name, been convicted of (or pleaded guilty or nolo contendere to) a Felony or Misdemeanor? (YES answers may be relevant if job-related, but do not necessarily bar you from employment. Do not identify convictions for which the criminal record has been expunged, sealed or eradicated by the court; or, misdemeanor convictions for which any probation has been completed and the case dismissed by the court. Marijuana offenses more than 2 years old need not be listed)

  Yes        No

If yes, please give dates and explain:

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

  Yes        No

If no, describe the functions that cannot be performed

Have any of your relatives ever been employed with Mission Liquor?

  Yes        No

If yes, provide names and location:

Please list your availability...

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:


Employment Application


What is your current employment status?

  Employed        Unemployed   Self-Employed        Student     

Current Employment Information

Current Employer:

Phone Number

May we contact them?

  Yes        No

Employed From

Employed Until

Job Title

Hourly Rate/Salary

Job Duties

Reason for leaving

Current Supervisor (Name & Title)

Have you previously been employed?

  Yes        No

Previous Employment Information

Previous Employer

Phone Number

May we contact them?

  Yes        No

Employed From

Employed Until

Previous Job Title

Previous Hourly Rate/Salary

Job Duties

Reason for leaving

Previous Supervisor (Name & Title)


Education


Name of School/College & Location

Course of Study

Graduated?

  Yes        No

JOB-RELATED SKILLS List any other special skills, aptitudes, experience, or professional licenses or certificates which qualify you for the position.