online application

Name *

First Name

Last Name

Are you legally eligible to work in the United States? *

Yes

No

Phone

(###)

###

####

Did you graduate high school?

Yes

No

Did you attend/graduate college?

Graduated

Some college

No

Date you can start

MM

DD

YYYY

Are you currently employed:

Yes

No

If yes, may we contact your present employer:?

Yes

No

Have you ever been employed by Gregs Our Place/Paul Allen Holdings?

Yes

No

Reference Phone

(###)

###

####

Reference Phone

(###)

###

####

Reference Phone

(###)

###

####

Please indicate your agreement with the following: *

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.