Orchard Park Application - Pie-O-Mine/Greens

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you eligible to work in the U.S.?*

Are you older than 18?*

If so do you have a work permit?

Education

School Name

Location of School

Years Attended

Degree Recived

Major

Employer

Phone

City

Position

Supervisors Name

Reason for leaving

May we contact them?

Dates Employed

Pay Rate

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Sunday*

Weekly preferred Hours

Preferred Hourly Rate

I certify that all answers given herein are true and complete to the best of my knowledge.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

CAPTCHA