Tangier Express Employment Application Form

Job Application for Tangier Express Liberty, LLC and Tangier Express West, LLC
Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you legally able to work in the United States?*

YesNo
What position are you applying for?*
How many hours a week are you available for work?*
What is your expected hourly rate?*
What date can you start work?*
Please list any days or times that you are not available to work here. If you are available all hours, please type NONE in the field. *
Example: I cannot work Tues evenings from the hours of 4pm to 9 PM
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistOther (please specify)
Others:
Upload Resume (not required, but helpful for candidates applying for management positions):

Upload a File

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Work History
List your most recent employer. Please list name, address, phone and direct supervisor as well as dates worked:*
List your next most recent employer. Please list name, address, phone and direct supervisor as well as dates worked:*
List your next most recent employer. Please list name, address, phone and direct supervisor as well as dates worked:*
Job Skills & Training
Describe your skills:*
Training or Certifications:
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you been convicted of any crime(s) or incarcerated in the last seven years?*

YesNo
Have you ever worked for any Tangier Express or Tangier Bar & Pizza in Struthers?*

Yes, the Boardman storeYes, the Youngstown storeYes, the Struthers storeYes, otherNo, I have never worked for Tangier Express or Tangier Bar & Pizza
Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. *

Clear
Signature

Disclosure Under Fair Credit Reporting Act and Consent to Procurement of Consumer Report and Background Check for Employment Purposes

The undersigned hereby authorizes Tangier Express Liberty LLC and Tangier Express West LLC or it's authorized agency to obtain copies of consumer reports, including a motor vehicle report, pertaining to me for employment purposes, and for use in rating and/or underwriting insurance for which the above named employer may aly, and any renewal thereof. I understand that in obtaining such consumer reports, a consumer reporting agency may be used, and I do hereby authorize such use.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Driver's License Number*
Drivers License State*
Driver's License Expiration Date*
Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. *

Clear
Signature
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