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District of Columbia
Zip / Post Code
Last 4 Digits of Social Security #
Position Applying For
Shifts available: Days, Nights, Weekends (list all)
Shifts NOT available to work (list all that apply)
Have you ever been employed with us before? If yes, please include date
Are you currently employed?
If so, may we contact your present employer?
Are you 18 years or older?
Are you a U.S. citizen or authorized by INS to work? (Proof of citizenship or immigration status is required upon employment.)
Available to work: Full time, part time or temporary?
Date you can begin work?
Have you been convicted of a crime within in the last 7 years? (Other than a traffic violation)
If yes, please explain.
Education: Please list your High School, College, Technical/Other schools attended.
Work History: List below all employment, beginning with your most recent. All times must be accounted for whether employed or not.
I hereby give Brownies on the Lake permission to contact my former employers and be provided with complete information regarding my former employment including any and all information included in my personnel file and/or reasons for the end of my employment. Yes or No?
Why would you be a good choice for this position?
Before submitting your Brownie’s Job Application, please
click here to read through our Statement & Conditions of Employment document.
I have read the Statement & Conditions of Employment
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