Employment | Duffy's Beer

Employment Form

Personal Information

* First Name

Middle Name

* Last Name

* Street Address

Street Address Line 2

* City

* State

* Zip Code

* Email Address

Home Phone

Mobile Phone

* Are you entitled to work in the United States?

* Are you 18 or older?

* Date of Birth

* Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years?

* Are you a veteran?

* Military Service?

* Are you currently employed?

* Expected hourly rate

Current / Most Recent Employer

Employer

Address

City, State, Zip

Telephone

Name of Immediate Supervisor

Position / Job Title

Pay

May We Contact?

From

Prior Employer

Employer

Address

City, State, Zip

Telephone

Name of Immediate Supervisor

Position / Job Title

Pay

May We Contact?

From

Education

High School

* Last Year HS Complete

* HS Degree

College

* College Years Complete

College Degree

Trade School

Trade School Degree

List any special skills or training

Reference 1

Name

Relationship

Phone

Address

City, State, Zip

Reference 2

Name

Relationship

Phone

Address

City, State, Zip

Details

* Available Start Date

Upload Resume

* required

Employment Form

Are you at least 21 years old?