Career Fill out a job application below. Step 1 of 4 25% Smokey Shay's Location*Winston-Salem, NCGreensboro, NCName First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Employment HistoryEmployerEmployed From Employed To Type of work performedPresent or last salaryReason for leavingAddress/CityName of SupervisorPhone(###) ###-####Do you have additional employment history?YesNoPrevious EmployerEmployed From Employed To Type of work performedPresent or last salaryReason for leavingAddress/CityName of SupervisorPhone(###) ###-#### EducationWhat types do you have? High School College Business / Trade Select all that applyHigh SchoolName/LocationHigh School789101112N/AYears attendedDiploma/DegreeCollegeName/LocationMajor CoursesCollege12344+N/AYears attendedMajor CoursesDiploma/DegreeBusiness or Trade LocationMonths AttendedPlease enter a value less than or equal to 72.Major CoursesDiploma/DegreeList any degrees, licenses or certificates held Personal InformationAre you legally authorized to work in the U.S.?*YesNoNote: you will be required to furnish documents to verify your eligibility for employment in accordance with the Immigration Reform and Control Act and your employment is contingent upon furnishing such documentsAre you at least 21 years of age?*YesNoHave you ever been convicted of a crime or felony within the last 4 years? Are there any pending charges against you?*YesNo(A conviction does not automatically bar you from employment)If yes, include detailsAre you presently employed?YesNoIf so, may we contact your present employer?YesNoIf hired, when would you be available to start work?*What are your salary requirements?* ReferencesList names, addresses and relationships of three persons and related to you who know your qualifications:1*2*3*CertificationI hereby certify that the answers given by me to the foregoing questions and statements are true and correct to the best of my knowledge without consequential omissions of any kind. I agree that the company shall not be held liable in any respect, if my employment is rejected or subsequently terminated, regardless of time of discovery, because of false statements, answers or omissions made by me in this application. I understand that any misleading or incorrect statements may render this application void, and if employed, may lead to employment termination. I consent to a drug test and a criminal history background check, as a part of the regular pre-employment screening. I also voluntarily and knowingly authorize the companies; schools or persons named herein to give any information requested regarding my former employment, character and qualifications. I hereby voluntarily and knowingly fully release and discharge, absolve, indemnify, and hold harmless said companies, schools or persons from any and all liability for any damages for issuing this information, except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment, I agree to conform to the rules and regulations of this organization. I further authorize that the company I am applying for with this application to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the company head or designee. Employment At-Will States only: Your employment relationship is based upon the mutual consent of you and the company and you are employed on an at-will basis. Employment at-will, compensation and this agreement may be terminated with or without notice at any time by the employee or the Company. Nothing in the employee manual shall limit the right to terminate at-will employment. No manager, supervisor, or employee of the company has any authority to enter into an agreement for the employment for any specified period of time or to make an agreement for employment on other than at-will terms. Only the president of the company has the authority to make any such agreement, which is binding only if it is in writing.* By checking this box, I affirm that all of the answers given by me above are true and accurate as to the best of my knowledge. I acknowledge and I have read the above statements and accept all conditions. Consumer Reports ReleasseIn connection with my application for: a) employment (including contract for services), or b) residency, I understand that consumer reports or investigate consumer reports which may contain public record information, may be requested or made on me including consumer credit, criminal background search, driving record, education, prior employer verification, workers compensation claims and others. These reports will include experience along with reasons for termination of past employment. Further I understand that you will be requesting information from Federal, State and local agencies regarding my past activities. I hereby authorize without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I understand I have the right to make a request of the Consumer Reporting Agency, upon proper identification and the payment of any authorized fees, the information in its files on me at the time of my request. I further authorize ongoing procurement of the above-mentioned reports at any time during my employment (or contract).Professional LicenseStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificNumber*If you retain a driver’s license with special privileges (Such as a CDL) please specify the type of license above, along with the state the license is valid in as well as the driver’s license number. If you have a standard driver’s license please leave the above fields blank.Drug Free WorkplaceSmokey Shays is a drug free workplace. We don't test with initial employment, however, we reserve the right to randomly test our employees.* By checking this box, I acknowledge I have read the above statement and accept this condition Captcha This iframe contains the logic required to handle Ajax powered Gravity Forms.