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5220 Atlanta Highway, Alpharetta, GA 30004

Application For Employment

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical or mental disability, severe/morbid obesity, medical condition, military or veteran status, genetic information, marital status, ethnicity, alienage or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the company, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.

Position(s) Applied For (required)

Your First Middle and Last Name (required)

Address (required)

City, State and Zip Code (required)

Your Email (required)

Your Telephone (required)


How did you find out about the job opportunity at Mad Hatter? (required)


Employment Experience (required)

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business references.

Previous Job 1

EmployerAddressDate StartedDate Left
Starting Pay RateEnding Pay RateSupervisor NameSupervisor Phone
May We Contact Your Supervisor?Job TitleDutiesReason for Leaving

Previous Job 2

EmployerAddressDate StartedDate Left
Starting Pay RateEnding Pay RateSupervisor NameSupervisor Phone
May We Contact Your Supervisor?Job TitleDutiesReason for Leaving

Previous Job 3

EmployerAddressDate StartedDate Left
Starting Pay RateEnding Pay RateSupervisor NameSupervisor Phone
May We Contact Your Supervisor?Job TitleDutiesReason for Leaving

Previous Job 4

EmployerAddressDate StartedDate Left
Starting Pay RateEnding Pay RateSupervisor NameSupervisor Phone
May We Contact Your Supervisor?Job TitleDutiesReason for Leaving

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Have you ever been involuntarily terminated or asked to resign from any job? (required)
YesNo

If yes, please explain:

Please explain any gaps in your employment history:

Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment:

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Education

Please describe your educational background in the space below.

High School

# of Years CompletedDiploma/Degree Obtained (Y/N)
Describe Course of StudyDescribe Specialized Training

College/University

# of Years CompletedDiploma/Degree Obtained (Y/N)
Describe Course of StudyDescribe Specialized Training

Graduate/Professional

# of Years CompletedDiploma/Degree Obtained (Y/N)
Describe Course of StudyDescribe Specialized Training

Trade or Correspondence

# of Years CompletedDiploma/Degree Obtained (Y/N)
Describe Course of StudyDescribe Specialized Training

Other

# of Years CompletedDiploma/Degree Obtained (Y/N)
Describe Course of StudyDescribe Specialized Training

Business/Professional References

Please list three professional references of individuals who are not related to you. Be sure to include the individual's phone number or email address and how you know them.

Name & TitleBusiness RelationshipPhone or Email

Co-Worker References

Please list three people you have worked with who know you well; do not include personal friends or relatives. Be sure to include the individual's phone number and how you know them.

NameOccupationRelationship (Example: Worked together at ABC Corp.)Years AcquaintedPhone Number

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GA LICENSE CR108397