Apply to Work At Creek Bottom Brewing Step 1 of 2 50% If you are submitting a résumé, please only fill out the fields in this online application that are not included in your resume. Fields with * are required.Name* First M.I. Last Upload your RésuméAddress Street Address Apartment/Unit # City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Date Available* Desired SalaryPlease enter a value greater than or equal to 0.Position Applied For*Which Location Are You Applying For?*Galax, VAMt Airy, NCOld Fiddler Restaurant - Galax, VAYour PictureIf you'd like, feel free to upload a picture of yourself here.Have you ever worked for this company?*YesNoIf yes, when?Have you ever been convicted of a felony?*YesNoIf yes, explain?Education(If not already listed on your uploaded résumé)High SchoolAddressFrom To Did you graduate?YesNoDiplomaCollegeAddressFrom To Did you graduate?YesNoDegreeOtherAddressFrom To Did you graduate?YesNoDegreeReferencesPlease list three professional references (If not already listed on your uploaded résumé)Full NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddress Previous Employment(If not already listed on your uploaded résumé)CompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a value greater than or equal to 0.Ending SalaryPlease enter a value greater than or equal to 0.ResponsibilitiesFrom To Reason for LeavingMay we contact your previous supervisor for reference?YesNoCompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a value greater than or equal to 0.Ending SalaryPlease enter a value greater than or equal to 0.ResponsibilitiesFrom To Reason for LeavingMay we contact your previous supervisor for reference?YesNoCompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a value greater than or equal to 0.Ending SalaryPlease enter a value greater than or equal to 0.ResponsibilitiesFrom To Reason for LeavingMay we contact your previous supervisor for reference?YesNoMilitary Service(If not already listed on your uploaded résumé)BranchFrom To Rank at DischargeType of DischargeIf other than honorable, explainDisclaimer and SIgnatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature*
