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Richmond, Virginia

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Sun- Thursday: 10am - 10pm
Friday & Saturday: 10am - 12am

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804-744-1077
info@uptownalleyrichmond.com

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6101 Brad McNeer Pkwy

Midlothian, VA 23112

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Employment

Interested in working at Uptown Alley?

Fill out our interactive PDF employment form then e-mail it to inquiry@uptownalleyrichmond.com or print it out, fill it out and then bring it in.

Step 1 of 6 - Personal Information

16%

Full Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Are you over the age of 18?
- Yes
- No
If NO, do you have a work permit?
- Yes
- No

List your last 3 positions starting with PRESENT or LAST EMPLOYER
Employer One
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Employer
Supervisor
Phone
Brief description of job duties and reasons for leaving:
Employer Two
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Employer
Supervisor
Phone
Brief description of job duties and reasons for leaving:
Employer Three
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Employer
Supervisor
Phone
Brief description of job duties and reasons for leaving:

Please list all your skills that relate to the position for which you are applying:
Please indicate what times of the day you are available for work / training for the next three months. If you are available, check that box; leave “BLANK” if NOT available; and indicate specific times if applicable.
AM SHIFT 8-5PM
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
PM SHIFT 5-CLOSE
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
EXCEPTIONS
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
Notes for scheduling or any other concerns

High School:
Graduated?
- Yes
- No
College or Other Schools:
Graduated?
- Yes
- No
College or Other Schools:
Graduated?
- Yes
- No
List personal certificates, achievements, awards, etc.:

List former employers (NOT relatives) that we can contact regarding recommendations for your employment
Reference One
Name
Phone
Relationship and Occupation:
Reference Two
Name
Phone
Relationship and Occupation:
Reference Three
Name
Phone
Relationship and Occupation:

Have you been convicted of a felony in the last seven (7) years?*
- Yes
- No
I hereby declare the information provided by me in this application for employment is true, correct and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal. If printed or faxed, my name listed below is my signature. I understand that if employed, an original signature will be required.
Full Name
Todays Date
MM slash DD slash YYYY

6101 Brad McNeer Pkwy Midlothian, VA 23112
804-744-1077
info@uptownalleyrichmond.com

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