JOB APPLICATIONJOB APPLICATION
Gus's Really Good Fresh JerkyGus's Really Good Fresh Jerky
4001 N Us Highway 93, Golden Valley, Arizona 864134001 N Us Highway 93, Golden Valley, Arizona 86413
760-908-0954760-908-0954
Gus's Really Good Fresh Jerky is an equal opportunity employer. This application will not be used for limiting or
excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.
Should an applicant need reasonable accommodation in the application process, he or she should contact a
company representative.
Please fill out all of the sections below:
Applicant InformationApplicant Information
Applicant Name:Applicant Name:
Address:Address:
City, State and Zip Code:City, State and Zip Code:
Telephone Number:Telephone Number:
Email Address:Email Address:
Date of Application:Date of Application:
Employment PositionEmployment Position
Position(s) applying for:Position(s) applying for:
Cashier/ Customer Service
How did you hear about this position?
What days are you available for work?
If needed, are you available to work overtime?
On what date can you start working if you are hired?
Do you have reliable transportation to and from work?
Personal InformationPersonal Information
Have you ever applied to or worked for Gus's Really Good Fresh Jerky before? Yes No
If yes, when?
Do you have any friends, relatives, or acquaintances working for Gus's Really Good Fresh Jerky
Yes No
If yes, state name & relationship:
Are you 18 years of age or older? Yes No
Are you a U.S. citizen or approved to work in the United States? Yes No
What document can you provide as proof of citizenship or legal status?
Melissa Megan Montville
1040 Kathleen Ave apt. 4D
Kingman, AZ 86401
928-303-2047
montville01@yahoo.com
09/04/2016
Robert Napier and my pure love of JERKY<3
open availablilty
absolutely!:)
immediately
yes
Robert Napier and I were friends in high school. We participated in being active members
in volunteering to help churches in our community.
no
yes
yes
birth certificate
Will you consent to a mandatory controlled substance test? Yes No
Do you have any condition which would require job accommodations? Yes No
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of convicon of a criminal offense. The
date of the offense, the nature of the offense, including any significant details that affect the descripon of the
event, and the surrounding circumstances and the relevance of the offense to the posion(s) applied for may,
however, be considered.)
Job Skills/QualificationsJob Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
(Note: Gus's Really Good Fresh Jerky complies with the ADA and considers reasonable accommodation measures
that may be necessary for eligible applicants/employees to perform essential functions. )
Education and TrainingEducation and Training
High SchoolHigh School
Name Location (City, State) Year Graduated Degree Earned
College/UniversityCollege/University
Name Location (City, State) Year Graduated Degree Earned
Vocational School/Specialized TrainingVocational School/Specialized Training
Name Location (City, State) Year Graduated Degree Earned
Military:Military:
Are you a member of the Armed Services?
What branch of the military did you enlist?
yes
no
no
Extremely observant. Constantly aware of my
surroundings.
Convincing with conversation/strong ability to upsell
Neat and organized; everything has a place
Phenomenal customer service
Previous lifeguard training
Strong interpersonal skills
Kingman Academy of Learning Kingman, AZ 2010 diploma
Lingenfelter Center
Kingman, AZ
2010
CNA
no
n/a
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Previous EmploymentPrevious Employment
Employer Name:Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
Employer Name:Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
Employer Name:Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
ReferencesReferences
Please provide 2 personal and professional reference(s) below:
ReferenceReference Contact InformationContact Information
Additional Information:Additional Information:
Are you okay with getting paid Cash?
n/a
n/a
n/a
n/a
ameriCAN Beer and Cocktails
hopsitality specialist
Emanuel Rios
Linq Promenade by Caesar's Palace, strip
Las Vegas, NV 89109
808-212-5896
11/2015 - 6/2016
relocation to Kingman, AZ
Blue Martini
server
Nate Smith
Town Square 6605 S. Las Vegas Blvd
Las Vegas, NV 89119
702-406-5803
08/2013 - 10/2015
my job was to start and smoke hookah all shift. I made a decision
for my health to no quite.
In N Out Burger
Coco Zuniga
level 2
3882 Blue Diamond Rd
Las Vegas, NV 89139
800-786-1000
09/2012 - 08/2013
I finally achieved why I relocated to Vegas; to obtain an industry
position.
Levi Dollinger (previous coworker)
928-530-6535
Emanuel Rios (previous supervisor)
808-212-5896
yes
Do you have your food handling card?
Do you have a phone that is able receive texts?
Would you be okay working holidays if need be?
AT-WILL EMPLOYMENTAT-WILL EMPLOYMENT
The relaonship between you and the Gus's Really Good Fresh Jerky is referred to as "employment at will." This
means that your employment can be terminated at any me for any reason, with or without cause, with or
without noce, by you or the Gus's Really Good Fresh Jerky. No representave of Gus's Really Good Fresh Jerky
has authority to enter into any agreement contrary to the foregoing "employment at will" relaonship. You
understand that your employment is "at will," and that you acknowledge that no oral or wrien statements or
representaons regarding your employment can alter your at-will employment status, except for a wrien
statement signed by you and either our Execuve Vice-President/Chief Operaons Officer or the Company's
President.
Applicant Signature: Dated:
Yes, I have a valid NV health card and am able to obtain an AZ copy upon hire!:)
yes
Do we get a bag of holiday jerky? On a more serious note, I'm ok with working the holidays' with a smile!
09/04/2016