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508-255-3893

Employment

    Thank you for your interest in joining our team! Please complete the form below and we will be in touch.

    Last Name

    First Name

    Middle Name

    Maiden Name

    Mailing Address

    City

    State

    Postal Code

    How Long

    Phone Number

    Your Email

    If under 18, please list age

    Position applied for

    Salary Desired

    Days/Hours Available to Work
    No PreferenceMondayTuesdayWednesdayThursdayFridaySaturdaySunday

    How many hours can you work weekly?

    Can you work nights?
    YesNo

    Do you have any objections to working overtime if necessary?
    YesNo

    Can you submit proof of legal employment authorization and identity?
    YesNo

    Employment desired

    When are you available to begin working?

    How were you referred to us?

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    Education

    Name of High School

    Location of High School(complete mailing address)

    Number of years completed

    Major and Degree

    Name of College

    Location of College(complete mailing address)

    Number of years completed

    Major and Degree

    HAVE YOU EVER BEEN CONVICTED OF A CRIME?
    YesNo

    If yes, explain number of convictions(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

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    Please list two references other than relatives or previous employers.

    Reference 1

    Name

    Position

    Company

    Address

    City

    State

    Postal Code

    Reference 2

    Name

    Position

    Company

    Address

    City

    State

    Postal Code

    An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

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    Work Experience

    Please list your work experience for your past two (2) jobs. If you were self-employed, give a firm name.

    Employer 1

    Name of Employer

    Address

    City

    State

    Postal Code

    Phone Number

    Name of last supervisor

    Employment Dates

    From

    To

    Your last job title

    Reason for leaving (be specific)

    List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

    Employer 2

    Name of Employer

    Address

    City

    State

    Postal Code

    Phone Number

    Name of last supervisor

    Employment Dates

    From

    To

    Your last job title

    Reason for leaving (be specific)

    List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

    May we contact your present employer?
    YesNo

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    Other Skills and Qualifications

    Summarize any job-related training, skills, licenses, certificates, and/or any other qualifications:

    Did you complete this application yourself?

    If not, who did?

    How Did You Find Us?

    Please enter the characters below:
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    4295 State Highway North Eastham, MA 02642 508.255.3893