Job Application – Food Dynasty Market – 1071 Bay St.

+1 718-816-1100

info@fooddynasty1071.com

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+1 718-816-1100

info@fooddynasty1071.com

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Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

First Name

Last Name

Gender

Date of Birth

Email

Street Adress

State

City

Zip Code

Phone Number

Desired Position

Desired Salary

Days Available:

Mon Tue Wed Tur Fri Sat Sun

Are You a Citizen of the United States?:*

Yes No

If No, are you authorized to work in the U.S?:*

Yes No

Are you looking for a P/T or F/T Job?: *

P/T F/T

Do you attend school?: *

Yes No

If Yes, what days?:

Mon Tue Wed Tur Fri Sat Sun

Does any friend or relative of yours work here?:

Yes No

Reference 1 - Full Name

Reference 1 - Relationship

Reference 1 - Company

Reference 1 - Phone

Reference 1 - Address

Reference 2 - Full Name

Reference 2 - Relationship

Reference 2 - Company

Reference 2 - Phone

Reference 2 - Address

Previous Employment Company

Previous Employment - Phone

Previous Employment - Adress

Supervisor Name

Job Title

Responsibilities

Starting Salary $

Ending Salary $

From:

To:

Reason for leaving

May we contact your previous supervisor for a reference?:

Yes No

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