*Position applied for:

*Last Name:

*First Name

*Middle Initial:

*Email:

*Telephone #:

*Street Address:

*City, State, Zip:

What prompted you to apply at City Brewery?

If yes, give name.

Education

Previous Employment (Include military service where applicable)

List below all previous employers, beginning with the most recent. If the field is not applicable (end date for a current employer), you may leave it blank. All time must be accounted for, whether employed or not.

*Date available for employment:

*Salary Requirements:

Activities and Achievements

List any honorary societies or scholastic honors, community activities and positions held, or professional activities and positions held.

Personal References

List former supervisors and other references, not relatives, who have knowledge of your training and work experience.

Name

Street Address

City, State, Zip

Telephone #

Name

Street Address

City, State, Zip

Telephone #

Name

Street Address

City, State, Zip

Telephone #

Attach a Resume (.txt, .doc, .docx, .pdf)

I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification or omission of information is grounds for refusal to hire or, if hired, dismissal. I further agree that City Brewing Company, LLC shall not be liable in any respect for any such refusal to hire or dismissal.

I hereby authorize City Brewing Company, LLC and all of its current or future employees, Directors and agents to request and receive, and authorize my current and previous employer(s) to provide City Brewing Company, LLC with any and all information which is in any way related to my current or previous employment, including, but not limited to, information related to salary, bonus, title, years of service, job performance, job duties, training, or educational background.

I completely waive all claims or causes of action against and release City Brewing Company, LLC, my current employer and all of my previous employers, and all of their former, current and future employees, Directors, agents, successors and assigns from any liability relating to the release of information to City Brewing Company, LLC regarding my current or previous employment.

In consideration for my employment and my being considered for employment by the City Brewing Company, LLC, I agree to conform to the rules and regulations of the Company and acknowledge that these rules and regulations may be changed, interpreted, withdrawn, or added to by City Brewing Company, LLC at any time, at the Company's sole option and without any prior notice to me. I further acknowledge that my employment, and any offer of employment or my acceptance of an employment offer, if such is to occur, may be withdrawn or terminated with or without cause and with or without prior notice, at any time, at the option of the Company or myself.

I understand that no representative of the Company, other than the authorized Corporate Human Resources personnel, has any authority to enter into an agreement for employment for any specified period of time or to assure any other personnel action, either prior to commencement of employment or after I have become employed, or to assure any benefits or terms and conditions of employment, or to change the fact that my employment may be terminated with or without cause and without notice or make any agreement contrary to the foregoing.

I understand that this application will remain active for no more than six (6) months from the date it was submitted.

I understand that any offer of employment is contingent upon my passing a drug screening test and functional capacity exam.

City Brewing Company, LLC is an Equal Opportunity Employer

*Type your name here, to be used as your signature

Please note that due to the high volume of submissions received, only those selected for interviews will be contacted. Thank you for your interest in our organization.