Big O’ Smoke House Employment Application Step 1 of 5 20% Name* First Middle Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Desired PayPosition Applying For:Desired Work*Full TimePart TimeStart Date* Date Format: MM slash DD slash YYYY Resume AvailabilityMondayAre you available to work on Monday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM TuesdayAre you available to work on Tuesday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM WednesdayAre you available to work on Wednesday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM ThursdayAre you available to work on Thursday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM FridayAre you available to work on Friday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM SaturdayAre you available to work on Saturday's?*YesNoFrom* : HH MM AM PM Until* : HH MM AM PM What Caused you to apply to Big O' Smoke House?*Are you 16 years old or older?*YesNoAre you 18 years old or older?*YesNoWere you previously employed by Big O' Smoke House?*YesNoAre you legally eligible for employment in the USA?*YesNoAre you related to any current employees?*YesNoName*Have you ever been convicted of a misdemeanor or Felony?*YesNoConviction:*Are you willing to take a pre-employment physical & drug test if Big O' Smoke House determines the nature of the job requires one?*YesNoDo you have any physical, mental, or medical impediment or disability that would limit your job performance in the position for which you are applying?*YesNoExplain* EducationHigh SchoolNameMajorYears CompletedGraduatedYesNoCollegeNameMajorYears CompletedGraduatedYesNoOtherNameMajorYears CompletedGraduatedYesNoWere you in the U.S. Armed Forces?YesNoWhich Branch?*Other skills or experience not listed that relates to position being applied for? ExperiencePrevious EmploymentCompany NamePositionWageDate StartedDate LeftReason For Leaving *Most Recent FirstReferences*NameOccupationPhone I affirm that all the information contained in this application is true and complete, and I understand that any falsification, misrepresentation or omission therein may result in immediate dismissal from, or refusal of, employment. I authorize the investigation, including a security check, of all the statements contained in this application, including access to records of any former employers, doctor, hospitals, police departments, and other services concerning me, and authorize such sources (and Big O' Smoke House hereafter) to release such information without liability for any such damage whatsoever incurred in giving such information. (I waive any written notice of the release of such records as may be required by any state or federal law.) I understand that my employment and compensation can be terminated with or without cause, and with or without notice at any time, at the option of either myself or Big O' Smoke House, I understand that no employee of Big O' Smoke House, other than the owner has the authority to enter into an agreement for employment for a specific period of time or make any agreement contrary to the foregoing.Signature*Date* Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.