BRTP Hiring Form Blue Ridge Travel Plaza Hiring Application 7121 Blue Ridge TrailMountain Top, Pa 18707 Employment Application Personal Information: Full Legal Name: (required) Current Address: (required) Phone: (required) Date: Date of Birth: Social Security Number: (required) Drivers License Number: (required) Email: (required) Employment History: 1. Phone: 2. Phone: 3. Phone: References: 1. Phone: 2. Phone: 3. Phone: Questionnaire: Have you worked in a truckstop/convenience store setting?If so, are you familiar with “truckers money”? Have you worked with the public? Do you have experience with handling/selling lottery tickets? Have you worked with a POS register system? Do you have food handling experience? Money handling experience? What hours are you available to work? (weekends, nights, days) Do you have reliable transportation? If not, what is your driver’s availability? Are you available for an “On Call” Schedule should there be a call off? AMEB Inc./Blue Ridge Travel Plaza reserves the right to research, call, and check any/all court documents for any prior felonies or misdemeanors. If you would like to bring anything to our attention before hand, please leave your statement on the back of this sheet, if you so wish.