Otto's Pub & Brewery

Job Application — Back of House

We are currently accepting applications for back-of-house staff at Otto’s Pub & Brewery and Barrel 21 Distillery & Dining. Please complete the form below and submit to be considered for these positions. THANK YOU!!

This application is for positions in the kitchen: Expediter, Prep Cook, Line Cook, Dishwasher.

All items marked * are REQUIRED items

Date of application* (MM-DD-YYYY)

I would like to be considered for a position at (check all that apply):
 Otto's Pub & Brewery Barrel21 Distillery

Position applying for*

How were you referred to us?

Personal Information

Full name*

Address*

City*

State*

Zip code*

Phone*

Cell

Your email*

Your date of birth (MM-DD-YYYY):

Date available to start:

If you are under 18 and require a work permit, can you furnish one?
 Yes No

If No please explain:

Have you worked for this company?
 Yes No

If yes, when?

Are you a citizen of the United States?
 Yes No

If not, are you legally allowed to work in the U.S.?
 Yes No

Type of employment desired
 Full-time Part-time Temporary/Seasonal

Have you ever pleaded "guilty" "no contest" or been convicted of a crime?
 Yes No

If Yes please give dates and details

Summarize your special skills or qualifications

Availability — mornings
 Mon Tues Wed Thurs Fri Sat Sun

Availability — evenings
 Mon Tues Wed Thurs Fri Sat Sun

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Previous Employment (begin with most recent position)

Job One

Dates of employment (MM-DD-YYYY)
to

Position(s) held

Firm

Address

Phone

Supervisor

Supervisor's title

Responsibilities

Starting salary and title

Ending salary and title

Reason for leaving

May we contact this employer for a reference?
 Yes No

Job Two

Dates of employment (MM-DD-YYYYY)
to

Position(s) held

Firm

Address

Phone

Supervisor

Supervisor's title

Responsibilities

Starting salary and title

Ending salary and title

Reason for leaving

May we contact this employer for a reference?
 Yes No

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Personal References

Personal Reference One

Full name

Phone

Email

Relationship

Personal Reference Two

Full name

Phone

Email

Relationship

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I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.*
 Yes No

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