PLEASE NO CALLS OR EMAILS REGARDING THIS JOB. READ CAREFULLY BELOW!

JOB APPLICATION FORM

Please complete this accurately and truthfully for our records. YOU MUST BE 21 YEARS OLD TO APPLY FOR THIS JOB.
GUIDELINES

Please ensure the finished form is printed out and signed. RETURN FORM IN PERSON to the following address for a brief interview between 5:30 p.m. to 7:00 p.m.: this WEDNESDAY, JULY 6th at AMERICAN FAMILY INSURANCE, 8200 S. KING DRIVE. Please either type directly in this form using Microsoft Word or PRINT on the form in ink legibly. Dont forget to bring all pages and please staple together.
POSITION APPLIED FOR:

JOB TITLE: BEER & BEVERAGE CLERK for DAVE MATTHEWS BAND CARVAN FESTIVAL INDEPENDENT CONTRACTOR.

I can work on Friday, July 8: Check only one box please. - FULL 8 HOUR SHIFT - 4 HOUR SHIFT I can work on Saturday, July 9: Check only one box please. - FULL 8 HOUR SHIFT - 4 HOUR SHIFT I can work Sunday, July 10: Check only one box please. - FULL 8 HOUR SHIFT - 4 HOUR SHIFT
APPLICANTS DETAILS

Title:

First name:

Last name:

Home address:

City: Home Phone:

State:

Zip:

Telephone numbers: please include all that apply.

Mobile Phone (if possible):

Work Phone (if currently employed):

Email address (where possible):

Do you hold a current driving or appropriate ID?

Is there anything concerning your medical history or state of health that is relevant to your application? Are there any restrictions regarding your employment? e.g do you require a Work Permit?
EMPLOYMENT RECORD

Yes/No

Yes*/No *If you answer Yes please, detail:

Yes*/No *If you answer Yes please supply details on a separate sheet of paper

For the purposes of this Independent Contractor Job, we are only asking you to list only one current or past employment job.

If you are unemployed please indicate YES here:

1. Current/most recent employer/organisation Name: Address: Job Title: Brief description of duties: Reason for leaving/changing: From: To:

Even if you are unemployed, you must indicate your last job reference, no matter how long ago.

EDUCATION

Please tell us about your education and or any training that you feel is relevant to the job. If still in college, technical or training school, please indicate. Please start with the most recent.
Name of high school/college/ university/training body Degree or still pending graduation Level Date completed

.EXPERIENCE / SKILLS

This section is for you to give specific information in support of your application that you would like to add regarding capability or volunteer work. If you are a current GCA 2011 member, please add this inside this area as it gives you a bonus point. Though if you are not a GCA member, that will not automatically be disqualify you.

REFERENCES

Please give name, address and position/occupation of two references. One can be a past or present employer or two friends.
1. Name: Position: Organisation: Address: Tel: 1. 2, Name:

Position: Organisation: Address: Tel:

CRIMINAL CONVICTIONS

Do you have any criminal convictions?

Yes

No

If Yes please give details on a separate sheet, this should exclude any spent convictions under Section 4(2) of the Rehabilitation of Offenders Act 1974.
DECLARATION AND SIGNATURE

The information supplied in this application form is accurate to the best of my knowledge.

....................................................... Signed

....................... Date

By signing and returning this application form you consent to GCA using and keeping information about you provided by you or third parties such as referees relating to your application or future employment. This information will be used solely in the recruitment process and will be retained from the date on which you are informed whether you have been invited to accept this job. Please print your completed form and return when you meet for the brief job interview.