BDC BEVERAGES Employement Application

PERSONAL INFORMATION

Fields with (*) are required

Position(s) Applied for *

Expected earnings ($/hr.) *

Date available for employment *

MM/DD/YYYY

First Name *

Last Name *

Phone Number *

Email *

Address *

City *

State *

Zip code / Postal *

Country

Can you upon employment provide genuine documentation establishing your identity and eligibility to be legally employed in the US? *

Yes No

Do you have a valid CDL? *

Yes No

Have you been convicted of a crime in the last seven (7) years? *

Yes No

If yes, please explain.
Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in a relation to the position for which you are applying

How were you referred to us?

Availability *

EMPLOYMENT HISTORY

Provide The following information for your past THREE (3) EMPLOYERS.
Starting with the most recent.

May we contact your present employer? *

Yes No

1. Employer *

Address *

Phone Number *

Job Title *

Immediate Supervisor & Title *

Start Date *

End Date *
Still There

Reason for Leaving *

Hourly Rate/Salary (Start Per) *

Hourly Rate/Salary (Final Per) *

Summarize the nature of work performed and
job responsibilities. *

2. Employer *

Address *

Phone Number *

Job Title *

Immediate Supervisor & Title *

Start Date *

End Date *

Reason for Leaving *

Hourly Rate/Salary (Start Per) *

Hourly Rate/Salary (Final Per) *

Summarize the nature of work performed and
job responsibilities.*

3. Employer *

Address *

Phone Number *

Job Title *

Immediate Supervisor & Title *

Start Date *

End Date *

Reason for Leaving *

Hourly Rate/Salary (Start Per) *

Hourly Rate/Salary (Final Per) *

Summarize the nature of work performed and
job responsibilities. *

SKILLS & QUALIFICATIONS

Summerize any training, skills, license, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are appying

EDUCATION

High School Attended	Graduated? Yes No	Degree Earned
College Attended	Graduated? Yes No	Degree Earned
Other Schooling Attended	Graduated? Yes No	Degree Earned

REFERENCES

1. Name *	Phone Number *	Years Known *
2. Name *	Phone Number *	Years Known *
3. Name *	Phone Number *	Years Known *

CERTIFICATION & RELEASE

I verify that the information on this application is true and complete. It is understood and agreed that any misrepresentation or falsification of these facts will be sufficient grounds for dismissal if I have been employed. Furthermore, I understand and agree that if I am hired; my employment with Budweiser Distribution Co. is on an "employment-at-will" basis, meaning that my employment is for an indefinite period and may be terminated at any time, for any reason, with or without cause, by me or my employer without prior notice. I authorized the Employer to investigate all references and secure additional job related information. I release from liability the Employer and its representatives for seeking such information, and all other persons, corporations, or organizations for furnishing such information. Budweiser Distribution Co. is an Equal Opportunity Employer. All applicants are considered for employment based upon their employment history, skills and abilities without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other classification protected by federal state or local laws. No question on this application is used for the purpose of limiting or excluding any applicant`s decision for employment on a basis prohibited by local, state or federal law.

Signature *

Date *