17220 W. 87th St. Pkwy
Lenexa, KS 66219

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Gomer’s Application for Employment

Employment Application

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  • Personal Information

  • The Kansas Alcoholic Beverage Control (ABC) prohibits persons with a felony from working in a liquor store in Kansas. We are required to perform a background check to verify your criminal history. Even if you have had a felony expunged from your record, it will show up on our check.

  • Kansas state law requires all persons working in a retail liquor store or selling alcoholic beverages to be 21 years of age.

  • Education History

  • Employment History

  • Employer 1

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  • Employer 2

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  • Employer 3

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  • References

  • Give below the names of three persons not related to you, whom you have known at least one year.
  • Reference 1

  • Reference 2

  • Reference 3

  • Availability

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  • By Kansas Law we are closed on Christmas Day, Thanksgiving and Easter. EVERYONE works New Years Eve.
  • Authorization

  • “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and re-lease the company from all liability for any damage that may result from utilizations of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an au-thorized company representative." This waiver does not permit the release or use of disability-related or medical
  • Date Format: MM slash DD slash YYYY
  • Please type full name.

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