Bethany Blues Flash
Events
May `13
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Bethany Beach, DE
Fair
71 °F
Wed
Partly Cloudy. High: 81 Low: 68
Thu
Scattered Thunderstorms. High: 75 Low: 66
Open 7 Days a Week!
Sunday-Thursday • 4:30 - 9PM
Friday and Saturday • 4:30 - 10PM
Sunset Happy Hour Daily • 4:30 - 7PM


Bethany Employment Application





Position Applied For*
  Application Date
Personal Information
  First Name*
  Middle Initial
  Last Name*
  Address*
  City*
  State*
  Zip Code*
  Home Phone*
  Cell Phone
  Email
Employment Eligibility
  Furnish Work Permit     Yes No
  US Work Authorization     Yes No
  Referred By
  Referred by other
  Convicted of Felony     Yes No
  Felony Discription
Availability
  Preferred Shift
  Monday Start Time
  Monday End Time
  Tuesday Start Time
  Tuesday End Time
  Wednesday Start Time
  Wednesday End Time
  Thursday Start Time
  Thursday End Time
  Friday Start Time
  Friday End Time
  Saturday Start Time
  Saturday End Time
  Sunday Start Time
  Sunday End Time
Education
  High School Name
  High School Major
  Last Year in High School
  High School Graduate     Yes No
  High School Degree
  College Name
  College Major
  Last Year in College
  College Graduate     Yes No
  College Degree
  Other School Name
  Other School Major
  Other School Last Year
  Other School Graduated     Yes No
  Other School Degree
  Other Special Skills
Employment History
  Ever asked to resign?     Yes No
Company 1
  Name
  Address
  City
  State
  Zip
  Start Date
  End Date
  Position
  Salary
  Supervisor
  Supervisor Phone
  Reason For Leaving
  Duties
Company 2
  Name
  Address
  City
  State
  Zip
  Start Date
  End Date
  Position
  Salary
  Supervisor
  Supervisor Phone
  Reason For Leaving
  Duties
Company 3
  Name
  Address
  City
  State
  Zip
  Start Date
  End Date
  Position
  Salary
  Supervisor
  Supervison Phone
  Reason For Leaving
  Duties
Personal References
Reference 1
  Name
  Address
  Phone
  Email
  Relationship
Reference 2
  Name
  Address
  Phone
  Email
  Relationship
Reference 3
  Name
  Address
  Phone
  Email
  Relationship
Declaration
I declare all information on this application is true.
  I Agree to Electronic Signature*       Check Here
  Applicant Signature
  Application Date
  Are You 21 Years
of Age or Older?
    Yes No