Join Our Team – Country Club Liquor Mart – Serving Rochester, NY for over 40 years!

Interested in joining our team? Please complete the application below.

Employment Application

Personal Information

First Name

Last Name

Phone Number

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are You Over 18 Years of Age?

Are You Over 21 Years of Age?

Have You Been Convicted of a Felony?

Employment Desired

Position

Start Date

Hours Desired

Education

High School Attended

City / State

College / University Attended

Degree & Major

Employment History #1

Dates Employed

Name of Employer

Position

Job Duties and Skills

Employment History #2

Dates Employed

Name of Employer

Position

Job Duties and Skills

Employment History #3

Dates Employed

Name of Employer

Position

Job Duties and Skills

Reference #1

Name

Phone Number

Relation

Years Known

Reference #2

Name

Phone Number

Relation

Years Known

Availability

Please indicate which days you have availability for, and what hours you are available to work. Store hours are currently 9am – 8pm Monday through Saturday and 10am to 6pm on Sundays.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Additional Details

Please provide any additional details that you would like to add:

Acknowledgment and Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

First Name

Last Name