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Contact Info

Age

Street Address

City

State

Zip code

Name (First, Middle, Last)

Email

Home Phone

Cell Phone

Availability

Desired Position

Deli

Farm Stand

Butcher Shoppe

Cookery

Availability

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Mornings

Afternoons

Evenings

Experience

High School

Year Completed

College

College Year Completed

Related Skills / Experience

Previous Employment

Company Name

Supervisor name

Date Started

Date Ended

Job Duties

*If you have had more than one previous place of employment, please let us know during an in-person interview*

Military Experience

Employment References (List 2-3 people we may contact):

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