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    Applicant Information

    Name
    MM slash DD slash YYYY
    Address
    MM slash DD slash YYYY
    Are you a citizen of the United Sates ?(Required)
    If no, are you authorized to work in the U.S. ?
    Have you ever worked fo this company ?
    Do you have Catering experience ?(Required)

    Education

    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Did you graduate
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Did you graduate
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Did you graduate

    REFERENCES

    Were you referred by a current employee ?
    Please list three professional references.

    Previous Employment

    MM slash DD slash YYYY
    MM slash DD slash YYYY
    May we contact your previous supervisor for a reference ?
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    May we contact your previous supervisor for a reference ?

    DISCLAIMER AND SIGNATURE

    I certify that my answers are true and complete to the best of my kbnowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    Coffee’s Country Market

    169 Boston Post Road
    Old Lyme, CT 06371
    860-434-1877

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