Job Application

Name
Email
Date
Address 1
Address 2
City
State, Zip
Phone
Email
What would you most like to do for us?  List top 3 choices.
1.
2.
3.
Availability: List approximate times available next to each day.
(ex. Monday: 3 pm to 10 pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Have you ever worked with us before? If so, when?
From To
Highest level of education completed:
Where?
List a couple of reasons why we would be lucky to have you working with us:
Previous work experience (in most recent order):
Where?
Doing What?
How Long?
Supervisor:
Phone:
Where?
Doing What?
How Long?
Supervisor:
Phone:
Reference authorization: type full name
This application of employment is not intended to be a contract of employment.
Type Name:  
Date:

Application for Fun Equal Opportunity Employer


Roger's Marketplace
45 Chamberlain Highway, Kensington, CT 06037
Phone: (860) 828-4157 - Fax: (860) 828-8377