* Indicates a required field. 

Personal Information

Name:*
Today's Date:*
Address:*
Home Phone:*
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Work Phone:
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Other:
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E-mail:*
Are you a United States Citizen or legally eligible to work in the U.S.?*

(If hired, you will be required to provide documentation that you are eligible to work in the U.S.)

Are you 21 or over?*
Title of Position Applying for:*
Date Available to work:*
Have you been previously interviewed or employed by the Longhorn Liquor?*
If yes, list date(s) and job title(s):
Do you have any relatives currently working for the Longhorn Liquor?*
If yes, list names and relationship to you:
Are you employed now?*
If so, may we contact your present employer?*

Education

Employment History

Please provide the following information for your previous three employers, beginning with the most recent: (Please attach an additional page if necessary, do not use "see attached resume".)

Employer (1):
(1) Dates Employed:
(1) Job Title:
(1) Address:
(1) Phone:
-
(1) Job Duties:
(1) Reason for Leaving:
(1) Weekly Pay:
Employer (2):
(2) Dates Employed:
(2) Job Title:
(2) Address:
(2) Phone:
-
(2) Job Duties:
(2) Reason for Leaving:
(2) Weekly Pay:
Employer (3):
(3) Dates Employed:
(3) Job Title:
(3) Address:
(3) Phone:
-
(3) Job Duties:
(3) Reason for Leaving:
(3) Weekly Pay:

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Describe your qualifications for the type of employment you are seeking. (Please include skills, special training, etc.)*
Please list any special awards, honors, scholarships, or offices held.
References: Please list names of supervisors, managers, or others who can comment directly on your abilities:*
Additional Information:
Upload a File:

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The Longhorn Liquor is an Equal Opportunity Employer. It is the policy of the Longhorn Liquor not to discriminate in employment matters on the basis of race, creed, color, age, marital status, national origin, sex, or status with regard to public assistance or disability.

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I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge.  I understand that if employed, false statements on this application shall be considered sufficient cause of dismissal.  You are hereby authorized to make investigation of my personal references.

E-Signature of Applicant:*
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