Application for Employment

Personal Information

Name:

Email Address:

Phone:

Current Address:

Street Address

City

State

Zip

Permanent Address:

Street Address

City

State

Zip

What is your age? Younger than 18 Older than 18 but younger than 21 21 or older

Do you have proof of identification an authorization to work in the United States? Yes No

Desired position: Full Time Part Time Seasonal

Referred by:

What hours are you available to work? Please be specific.

Are you currently employed? Yes No If so, may we contact your employer? Yes No

Do you have job experience that pertains to this position? Please explain.

Previous Employers

Employer	Supervisor	Job Title	Employment Dates	Phone Number
			to
			to
			to

Education

School	City	State	Attended Dates	Graduated
High School			to	Yes No
College / Trade School			to	Yes No

Course of Study:

What is your favorite beer (not including New Holland beers), and why?

List the four main ingredients in beer.

Who is Michael Jackson, and how does he pertain to this business?

New Holland Brewing Company is an Equal Opportunity Employer. Any statement providing false or omitting relevant information the application form is grounds for refusal or dismissal of employment. This application is not an employment contract.

By accepting below, I am allowing New Holland Brewing Company the right to conduct a background, credit, and criminal records check to verify the information provided on this form.

I accept

66 East 8th Street • Holland, Michigan 49423 • (616) 355-NHBC

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