Tangier Express Employment Application Form

Job Application for Tangier Express Liberty, LLC and Tangier Express West, LLC

Name: *

First Name Last Name

Birth Date

Month Day Year

Phone Number: *

Area Code Phone Number

E-mail Address:

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you legally able to work in the United States? *

Yes No

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-In Employee Newspaper Ad Facebook Twitter Craigslist Other (please specify)

Others:

Upload Resume (not required, but helpful for candidates applying for management positions):

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: *

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 Name Last Name

Phone Number *

Area Code Phone Number

Years Known: *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2

Name: *

First Name Last Name

Phone Number *

Area Code Phone Number

Years Known: *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Yes No

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

Yes, the Boardman store Yes, the Youngstown store Yes, the Struthers store Yes, other No, 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. *

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