Stag & Doe Application for Employment Question Title * 1. Personal Information First and Last Name Address City/Town State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code Email Address Phone Number OK Question Title * 2. Are you under 18 years of age? Yes No OK Question Title * 3. Do you have reliable transportation to work? Yes No OK Question Title * 4. Check which days you are available to work. (We are open Wed-Sat 4pm-10pm) Wednesday Thursday Friday Saturday OK Question Title * 5. List any activities that may periodically affect your availability (sports, school, vacations) OK Question Title * 6. School Last Attended Name Graduation date (or expected Graduation date) OK Question Title * 7. Previous Employment Company Job Description Date of Employment Reason for leaving OK Question Title * 8. Previous Employment Company Job Description Date of Employment Reason for leaving OK Question Title * 9. Personal References Name Relationship Years known Phone Number OK Question Title * 10. Personal References Name Relationship Years known Phone Number OK DONE