Please fill in all areas requested and sign the application. Applicants may be tested for illegal substances. We are an Equal Opportunity Employer who does not discriminate on the basis of race, color, age, gender, religion, disability, or national origin or any other protected class. Consistent with the Americans with Disabilities Act (ADA), please request any accommodation necessary for the application for employment process.

First Name *

Last Name *

Date of birth *

Address

Street Address *

City *

State *

Country *

Postal Code *

How long have you been at this address? *

Home Phone *

Cell Phone *

Email *

Postion applied for

Essential Function: Most general positions of employment at Sue-N-Doug, Inc. require that, at minimum, employees be able to: 1)Read, write, comprehend and follow directions in English, 2) Maintain good personal grooming habits 3) Have and maintain dependable tansportation, 4) Lift 25 lbs in weight, 5) Stand or sit for extended periods, 6) Keep all required licenses and certifications (including but not limited to RAMP certifications for the Sinkhole Saloon). In addition to the above, the Mechanic positions must be able to 1) lift at least 50 lbs in weight, 2) be able to kneel and crawl in tight spaces.

Based on the Essential Functions above, do you require "reasonable accommodations" under the ADA to perform the work of any of Sue-N-Doug, Inc.'s positions? If so, what reasonable accommodation?

Salary Desired $

Hours Available

Type of Employment

Date available to start work

Are there any circumstances that would prevent you from being able to report on time for work of perform work of follow Company policies?

Have you ever applied with our company before?

If yes, for what position, on what date?

Have you ever been fired from another position?

If so, what Company and why?

Are you over 18 years of age?

Are you a U.S. Citizen?

Are you legally eligible to work in the U.S.?

Do you currently have a current/valid RAMP certifications in Pa?

Signature of Applicant

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