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General Application

First Name:
Last Name:
Middle Initial:
Street Address:
City, State, Zip:
Primary Telephone:
Alternate Telephone:
Date of Birth:
Social Security Number:
Have you ever applied for employment with us?	Yes  No
If Yes, Month & Year:
Position(s) desired:	-----MerchandisingOffice / SupportSalesWarehouseAny
Pay Expected:
Will you work overtime if asked?	Yes  No
When will you be available to begin work?
High School Name & Location:
Number of Years Completed:	-----1234
Degree or Diploma:
Business/Trade/Technical School Name & Location:
Course of Study:
Number of Years Completed:	-----12345678
Degree or Diploma:
College/University Name & Location:
Course of Study:
Number of Years Completed:	-----12345678
Degree or Diploma:
Did you serve in the U.S. Armed Forces?	Yes  No
If Yes, in what Branch?	-----Air ForceArmyCoast GuardMarinesNational GuardNavy
Describe any Military training received that is relevant to the position for which you are applying:
Present or Most Recent Employer Name:
Address:
Telephone:
May we contact?	Yes  No
Dates Employed From:
To:
Name of Supervisor:
Weekly Pay:
Job Title:
Describe Your Work:
Reason for Leaving:
Next Most Recent Employer Name:
Address:
Telephone:
May we contact?	Yes  No
Dates Employed From:
To:
Name of Supervisor:
Weekly Pay:
Job Title:
Describe Your Work:
Reason for Leaving:
Next Most Recent Employer Name:
Address:
Telephone:
May we contact?	Yes  No
Dates Employed From:
To:
Name of Supervisor:
Weekly Pay:
Job Title:
Describe Your Work:
Reason for Leaving:
This position requires availability for full time work. You may be required to work overtime, weekends and holidays. Does this pose any problems for you?	Yes  No
Will you be sending your resume to Elite Brands of Michigan in addition to this application?	Yes  No
Please type the letters and numbers shown in the image.

Please feel free to submit your resume along with this application.

Fax: 269.382.1109

Email: administrator@imperialbev.com

In the event that you are hired, you will be requested to provide copies of documents that prove that you are lawfully authorized to work in the United States.  Some examples of such documents are: U.S. Passport; Temporary Resident Card, INS Form I-688; Drivers License; Certified Copy of Birth Certificate; U.S. Citizen ID Card, INS Form I-197; etc.

APPLICANT AGREES BY SUBMISSION OF THE GENERAL APPLICATION THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT TO THE BEST OF THE APPLICANTS ABILITY.  ANY DELIBERATE FALSIFICATION OF INFORMATION, IF DETERMINED AFTER EMPLOYMENT, MAY RESULT IN TERMINATION FROM THE COMPANY.