BigShotzTavern.com, Enjoy fine dining in a casual atmosphere at Big Shotz Tavern and Restaurant:: Now with two locations in Clemmons and Winston-Salem, NC

Online Job Application
Pre-Employment Questionnaire
Big Shotz Tavern is an Equal Opportunity Employer

Please fill out the below form honestly and completely.

Personal Information

Today's Date:		(mm/dd/yyyy)
Last Name:
First Name:
Middle Initial:
Present Address:
City, State Zip:		,
Permanent Address:		(only if different than present address)
City State Zip:		,
Phone:		(please include area code)
Email:
Referred by:

Employment Desired

Position:
Start Date:

Salary Desired:
Location Desired?

Employed?
May we contact present employer?
Ever applied to this co. before?:
If yes, Where?:
When?:

Education

Name & Location of School	Years Attended	Graduate?	Subjects Studied
High School
College
Trade/Bus/Corr

General Information

Subjects of Special Study/Interest:		(mm/dd/yyyy)
US Military/Naval Service:		Rank:
Are you a US Citizen?
Ever been convicted of a felony?

Former Employers - (list below last four employers, starting with last one first)

Employer 1:
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Date End:		mm/yy
Emp Name:
Address:
Salary:
Position:
Reason/leave:

Employer 3:
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Address:
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Position:
Reason/leave:

Employer 2:
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Address:
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Position:
Reason/leave:

Employer 4:
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Address:
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Reason/leave:

References - (please give the names of at least three persons not related to you, whom you have known at least 1 year)

Reference 1:
Name:
Address:
Business:
Years known:

Reference 3:
Name:
Address:
Business:
Years known:

Reference 2:
Name:
Address:
Business:
Years known:

Reference 4:
Name:
Address:
Business:
Years known:

Authorization to Process Application

"Yes, by checking the box (left) I am authorizing Big Shotz Tavern to process my application for employment. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand an agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."