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Employment Application Interested in working at the Barn Stone Cafe? Please fill out all the fields in the application below. Personal Information: First Name Last Name Phone Number Referred By Present Address: Address City State Zip Code Permanent Address: Address City State Zip Code Employment Desired: Position Date you can start Salary Desired Are You Employed? Yes     No May we contact your current employer? Yes    No Ever applied to us before? Yes    No Where? When? Education History:     Grammar School Name and Location Years Attended Did you graduate? Yes    No Subjects Studied High School Name and Location Years Attended Did you graduate? Yes    No Subjects Studied College Name and Location Years Attended Did you graduate? Yes    No Subjects Studied Trade, Business or Correspondence School Name and Location Years Attended Did you graduate? Yes    No Subjects Studied General Information Subjects of Special Study/Research Work or Special Training US Military or Naval Service Rank Former Employers (list your last four employers starting with the most recent) Former Employer #1 Date Employed (Month and Year) From: To: Name and Address of Employer Salary Position Reason for Leaving Former Employer #2 Date Employed (Month and Year) From: To: Name and Address of Employer Salary Position Reason for Leaving Former Employer #3 Date Employed (Month and Year) From: To: Name and Address of Employer Salary Position Reason for Leaving Former Employer #4 Date Employed (Month and Year) From: To: Name and Address of Employer Salary Position Reason for Leaving References Give the names of three people not related to you who you have known for at least one year Reference #1 Name Address Business Years Known Reference #2 Name Address Business Years Known Reference #3 Name Address Business Years Known