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 School Address From MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No Diploma College Address From MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No Degree Other Address From MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No Degree ReferencesPlease list three professional references (If not already listed on your uploaded résumé)Full Name Relationship Company PhoneAddress Full Name Relationship Company PhoneAddress Full Name Relationship Company PhoneAddress Previous Employment(If not already listed on your uploaded résumé)Company PhoneAddress Supervisor Job Title Starting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.Responsibilities From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for reference? Yes No Company PhoneAddress Supervisor Job Title Starting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.Responsibilities From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for reference? Yes No Company PhoneAddress Supervisor Job Title Starting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.Responsibilities From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for reference? Yes No Military Service(If not already listed on your uploaded résumé)Branch From MM slash DD slash YYYY To MM slash DD slash YYYY Rank at Discharge Type of Discharge If other than honorable, explain Disclaimer 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*
