Portsmouth Gas Light



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Employment

The following positions are currently available.

Part-time Pizza Cooks
Full-time Pizza Cooks
Nightclub & Deck Bouncers
Hosts
Cocktail Servers (must have experience)

Fill out the form below or download, fill out and mail this application.

Portsmouth Gas Light Co.

64 Market St. Portsmouth, NH 03801

Application For Employment

An Equal Opportunity Employer

Employment applications will be kept on file three (3) months

Please use the form below to contact us or to provide feedback.

Contact Information:
*	Name:
*	Email:
	Telephone:
Physical Address:
	Address:
	City:
	State:
	Postal Code:
Mailing Address:
	Address:
	City:
	State:
	Postal Code:
Employment Credentials
	Referred By:
	Type of Transportation used:	Walk Car Bus Other
	Are you 18 or older:	Yes No
	Have you ever been convicted of a felony:	Yes No
	Part or Full time:	Full Time Part Time Either
	Salary Desired:
	Date you can start:
	Are You Presently Employed :	Yes No
	Positions Applying For: (select all that apply)	Dishwasher Line Cook Lead Line Cook Sous Chef Club Server Club Bartender Restaurant Server Restaurant Host Restaurant Bartender Pizza Cook Chef Kitchen Manager Doorman Greeter
Education
	High School:
	Years Attended:
	Subject Studied:
	College:
	Years Attended:
	Subject Studied:
	Military:
	Years Attended:
	Subject Studied:
	Military:
	Years Attended:
	Subject Studied:
General Interest
	Special Study:
	Sports:
	Volunteer Work:
	Other:
Former Employers
Employer 1
	Dates Worked (from - to):
	Name of Employer:
	Position:
	Supervisor:
	Responsibilities:
	Reason for leaving:
	Phone number:
Employer 2
	Dates Worked (from - to):
	Name of Employer:
	Position:
	Supervisor:
	Responsibilities:
	Reason for leaving:
	Phone number:
Employer 3
	Dates Worked (from - to):
	Name of Employer:
	Position:
	Supervisor:
	Responsibilities:
	Reason for leaving:
	Phone number:
I certify that the facts contained on this application are true and complete to the best of my knowledge and I understand that if employed, falsified statements on this application are grounds for immediate dismissal. I authorize investigation of all statements contained, herein and the references and employers listed above to give you any information concerning my previous employment, and release the company from all liability damage that may result from utilization of such information. I also understand as an applicant to this business that this company is an "Employer At Will" company, which means they have the right to hire and fire by their own choice.
	Todays Date:
	Digital Signature:

* Denotes a required field.


The Portsmouth Gas Light 64 Market Street, Portsmouth, NH (603) 430-9122 (603) 430-8582