APPLICATION FOR EMPLOYMENT
Wooden Legs Brewing Company, LLC.
309 5th Street, Suite 100
Brookings, SD 57006
firstname.lastname@example.org | 1-605-692-BEER (2337)
Wooden Legs Brewing Co. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
Referral Source (how did you hear about this opening?):
Are you over the age of 21?: Yes [ ] No 
(If no, you may be required to provide authorization to work.)
Are you legally eligible to be employed in the United States? YES [ ] NO [ ]
(Proof of identity and eligibility will be required upon employment)
Can you perform the essential functions of the position? YES [ ] NO [ ]
Have you ever worked for this Company before? YES [ ] NO [ ]
If yes, When? (Give dates)____________________ Job Title: ______________________
Do you have any relatives or friends who work for the Company? YES [ ] NO [ ] If yes, who and when?
When would you be available to begin work?
Are you available to work: DAYS [ ] NIGHTS [ ] WEEKENDS [ ] FULL TIME [ ]
Days and Hours Available:
(If employed, I will notify my supervisor in writing, should my availability change.)
Are you presently employed? YES [ ] NO [ ]
If yes, may we contact your employer? YES [ ] NO [ ]
If presently employed, why are you considering leaving?
Have you ever done any volunteer work? YES [ ] NO [ ] If yes, describe:
(Omit any volunteer work which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities)
Do you belong to any professional, trade, business or civic organizations that deal with the position for which you are applying? YES [ ] NO [ ] If yes, please explain and list offices held:
(Omit any organization which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)
Have you completed any special courses, seminars and/or training that would enable you to perform the position for which you are applying? YES [ ] NO [ ] If yes, please describe:
Account for any full month since leaving school (high school or college) that you were not working:
List academic honors, extracurricular activities, offices held, etc. in high school or college:
(Omit any which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)
Employment History: (Start with your most recent position)
Use an additional sheet of paper if more space is necessary.
Give three references (not relatives or employers)
IMPORTANT, PLEASE READ AND SIGN
I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can be grounds for termination from the company or its' subsidiaries. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without
Signed: ________________________________________________ Date:_______________________
THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.
Wooden Legs Brewing Company Use Only:
Last Name: Page:/
Date: Ver. 13.3.12
Wooden Legs Brewing Co. Application for Employment