Employment




Open 7 days
7 am to 10 pm
147 State Street
Rutland, VT

EMPLOYMENTWe are always looking for good workers and qualified individuals to join our staff. If you are interested in joining our team, please completely fill out the application below.

This company makes its employment decisions without regard to race, color, sex, national origin, marital status, age or any other protected classification unrelated to job performance.

Name
Date
Date of Birth
Phone
How Did You Hear of Job?
Address
Position Desired
Date You Can Start
Desired Pay
Are You Currently Employed?
May We Contact Your Present Employer?
Present Employer
Immediate Supervisor
Present Employer’s Address
Criminal Conviction
(Please list any criminal convictions sustained within the last 10 years. You will not be automatically excluded for consideration if you have been convicted of a crime. Your suitability will be based upon the totality of circumstances such as: the nature of the crime, the recency of the conviction, the type of work involved, etc.).
Elementary School Attended
Years Attended
High School Attended
Years Attended
College or University Attended
Years Attended
Major
College Degree Earned
Correspondence or Special Study
Correspondence Institution
Are There Any Requirements Of The Job Which You May Be Unable To Perform? Yes
No
If Yes, Please Explain
Former Employer 1
Name and Address
Salary
Position
Start Date
End Date
Reason for Leaving
Phone
Name and Title of Person to Contact
Former Employer 2
Name and Address
Salary
Position
Start Date
End Date
Reason for Leaving
Phone
Name and Title of Person to Contact
Former Employer 3
Name and Address
Salary
Position
Start Date
End Date
Reason for Leaving
Phone
Name and Title of Person to Contact

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

By Checking This Box I Sign and Attest to the Above Form