Apply to Work At Creek Bottom Brewing Step 1 of 250%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* Date Format: 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.)Galax, VA Restaurant (Country Club Lane)CBB Food TruckYour 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 Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDiplomaCollegeAddressFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDegreeOtherAddressFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDegreeReferencesPlease list three professional references (If not already listed on your uploaded résumé)Full NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressPrevious 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 Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference?YesNoCompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.ResponsibilitiesFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference?YesNoCompanyPhoneAddressSupervisorJob TitleStarting SalaryPlease enter a number greater than or equal to 0.Ending SalaryPlease enter a number greater than or equal to 0.ResponsibilitiesFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for reference?YesNoMilitary Service(If not already listed on your uploaded résumé)BranchFrom Date Format: MM slash DD slash YYYY To Date Format: 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*
