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APPLICATION
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Today's Date
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Name
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First
Last
Street Address
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City, State and Zip Code
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Telephone Number
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Email Address
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Position(s) applying for (select all that apply):
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Management
Line Cook/Kitchen
Cashier/Server
How did you hear about this position?
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How many hours per week are you interested in working? (copy)
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What days are you available for work?
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If needed, are you available to work overtime?
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On what date can you start working if you are hired?
Do you have reliable transportation to and from work?
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Do you have any friends, relatives or acquaintances working at KOTO?
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Yes
No
If yes, state name and relationship:
Are you 19 years of age or older?
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Yes
No
Do you have any condition which would require job accommodations?
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Yes
No
If yes, please describe accommodations required below.
(Note: Koto Brewing Company complies with ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
Why do you want to work for us?
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Why should we hire you?
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Previous Employment (1)
Job Title
Supervisor Name
Supervisor Name
Employer Street Address
Employer Street Address
City, State and Zip Code
City, State and Zip Code
Employer Telephone
Employer Telephone
Dates Employed
Dates Employed
Reason for Leaving
Reason for Leaving
Previous Employment (2)
Job Title
Supervisor Name
Supervisor Name
Employer Street Address
Employer Street Address
City, State and Zip Code
City, State and Zip Code
Employer Telephone
Employer Telephone
Dates Employed
Dates Employed
Reason for Leaving
Reason for Leaving
Reference 1
Reference Name
Reference hone Number
Phone Number
Reference Relationship
Relationship
The relationship between you and Koto Brewing Company is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Koto Brewing Company. No representative of Koto Brewing Company has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our President, Vice President or General Manager.
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Applicant Signature (electronic)
Date
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Date
Submit
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