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Applying For: Food Server (part time)
Contact Information
First Name:
Last Name:
Home Phone: i.e. (740) 753-9100
Cell Phone: i.e. (740) 753-9100
E-Mail:
Attach your Resume
Attach Resume:
Affirmative Action Survey (Optional)
Applicants for employment and employees are treated, during the recruitment process and throughout employment, without regard to race, color, religion, sex, national origin, age, marital or verteran status, medical condition or handicap.

Rocky Brands, Inc. is and Affirmative Action Employer. We comply with government regulations and affirmative action responsiblities. To assist us in complying with government recordkeeping, reporting and other legal requirements please complete this VOLUNTARY Applicant Data Record. Providing this information is voluntary and will not be used to identify you during the recruitment, employment or the advancement processes. Failur to supply this information will not jeopardize or adversely effect any consideration you may receive for employment or later advancement. We appreciate your cooperation.

Government agencies require periodic reports on sex, ethnicity, disability, and veteran status of applicants. This data is for analysis and affirmative action purposes only.

Referral Source:
Advertisement Friend Employment Agency
Walk-in Relative Other
Careerbuilder Other Web Site Employee of Rocky
Gender: Male Female
Race/Ethnic Group Hispanic or Latino
Asian
White(non-Hispanic or Latino)
Black or African American (non-Hispanic)
American Indian or Alaskan native
Two or more races
Native Hawaiian or Other Pacific Islanders (non-Hispanic)
Disabled: Yes No
Veteran: Yes No
Finalize Form
Please reveiw the information entered above for accuracy before submitting.