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 RésuméMax. file size: 100 MB.Address Street Address Apartment/Unit # City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Date Available* MM slash DD slash YYYY Desired SalaryPlease enter a number greater than or equal to 0.Position Applied For*Which Location Are You Applying For?* Galax, VA Tasting Room & Pub (Meadow St.) CBB Ice Cream Truck CBB Food Truck Your PictureMax. file size: 100 MB.If you'd like, feel free to upload a picture of yourself here.Have you ever worked for this company?* Yes No If yes, when?Have you ever been convicted of a felony?* Yes No If yes, explain?Education(If not already listed on your uploaded résumé)High SchoolAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DiplomaCollegeAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeOtherAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeReferencesPlease 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 number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference? Yes No CompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference? Yes No CompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference? Yes No Military Service(If not already listed on your uploaded résumé)BranchFrom MM slash DD slash YYYY To MM slash DD slash YYYY 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*