AN EQUAL OPPROTUNITY EMPLOYER
Resurgence Brewing Company’s policy prohibits discrimination on the basis of race, color, religion, sex, national origin, age, creed, marital status, sexual orientation, genetic predisposition, carrier status, military service, veteran status, physical or mental handicap or disability, arrest/conviction status or other legally protected status in accordance with all applicable federal and state laws.
(List the names of all your employers starting with current or most recent.)
(Please provide the name, address and telephone number of three references who are qualified to evaluate your
capabilities and who are not related to you.)
(indicate the times you are available each day)
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I understand that if I am employed, employment is at-will and may be terminated at any time without cause or
notice. A routine inquiry may be made which will provide information concerning your job background and
qualifications for available positions. Upon written request, information as to the nature and scope of the report,
if one is provided, will be made available to you.
I certify the information I have given is accurate and complete to the best of my knowledge. I authorize you to
process my application. I further understand that if I am employed, any misrepresentation of facts on this
application is sufficient cause for dismissal.
Yes, I understand