Voted Baltimore's
Best Crab House

Employment Application

Please fill in all relevant information. Incomplete applications will be discarded.

Applicant Information

Last name:	First name:		M.I.
Street Address:			Apt No:
City:		State:	ZIP:
Phone:	Email:
Date Available:	S.S. Number:		Desired Salary:
Position Applied for:
Are you citizen of the United States? Yes No
If no, are you authorized to work in the U.S.? Yes No
Have you ever worked for this company? Yes No
If yes, when?
Have you been convicted of a felony? Yes No
		If yes, explain:

Education

High School:	Address:
From: To: Did you graduate? Yes No		Degree:

College:	Address:
From: To: Did you graduate? Yes No		Degree:

Other:	Address:
From: To: Did you graduate? Yes No		Degree:

References Please list three professional references.

Previous Employment List up to three previous jobs, with the most recent job first.

Company:	Phone:
Address:	Supervisor:
Job Title:	Starting Salary:	Ending Salary:
Responsibilities:
From: To:	Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No

Company:	Phone:
Address:	Supervisor:
Job Title:	Starting Salary:	Ending Salary:
Responsibilities:
From: To:	Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No

Company:	Phone:
Address:	Supervisor:
Job Title:	Starting Salary:	Ending Salary:
Responsibilities:
From: To:	Reason for Leaving:
May we contact your previous supervisor for a reference? Yes No

Military Service

Branch:	From:	To:
Rank at Discharge:	Type of Discharge:
If other than honorable, please explain:

Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.