Fresh City Employment Application

This application is for Capitol Fresh corporate positions and positions at Fresh City locations in Maryland, Virginia and Washington, DC only.

If you have questions, please contact hr@capitolfresh.com or call toll-free 1-800-380-6647, ext. 3

* fields must be completed.

Name and Contact Information

*First Name: 

Middle Name: 

*Last Name: 

*Email: 

*Confirm Email: 

*Street Address 1: 

Street Address 2: 

*City: 

*State: 

*Zip Code: 

* Telephone Number: 

Emergency Contact Name: 

Emergency Contact Number: 

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Age and Work Authorization

* Are you over 18? 

   Yes          No

* Are you authorized to work in the US? 

   Yes          No

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Education

High School: Graduated?    Yes   No    
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College/University:  Graduated?    Yes   No Diploma/Major: 
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Graduate School:  Graduated?    Yes   No Diploma/Major: 
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Other Education:  Graduated?    Yes   No Diploma/Major: 
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Employment History

Have you previously worked for Fresh City? 

  Yes    No

   
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If Yes, When?   Where? 
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Current or Last Position

Company Name:  Position: 
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Telephone:  Supervisor: 
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Wage:     Hourly      Weekly      Bi-Weekly      Annually
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Dates Employed From:    To:   
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Contact Name:  Contact Telephone: 
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Reason for Leaving: 

   Resigned      Terminated      Other

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Explanation: 
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Prior Position

Company Name:  Position: 
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Telephone:  Supervisor: 
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Wage:     Hourly      Weekly      Bi-Weekly      Annually
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Dates Employed From:    To:   
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Contact Name:  Contact Telephone: 
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Reason for Leaving: 

   Resigned      Terminated      Other

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Explanation: 
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Prior Position

Company Name:  Position: 
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Telephone:  Supervisor: 
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Wage:     Hourly      Weekly      Bi-Weekly      Annually
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Dates Employed From:    To:   
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Contact Name:  Contact Telephone: 
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Reason for Leaving: 

   Resigned      Terminated      Other

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Explanation: 
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Military Service

Served in the military? 

   Yes          No

Branch:    Rank: 
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Dates of Duty From:    To: 
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Affiliations and Community Service

 Organization:   Involvement:   Dates From:   To: 
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 Organization:   Involvement:   Dates From:   To: 
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 Organization:   Involvement:   Dates From:   To: 
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References

Name: 

Telephone: 

Relationship: 

Years Known: 

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Name: 

Telephone: 

Relationship: 

Years Known: 

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Name: 

Telephone: 

Relationship: 

Years Known: 

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Position and Availability

Location: 

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Position: 

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Desired Wage: 

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   Hourly      Weekly      Bi-Weekly      Annually

I Wish to Work: 

   Full Time          Part Time

Hours Per Week: 

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Willing to Work Weekends? 

   Yes          No

Do you have other responsibilities that would limit your availability to work?
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   Yes          No

If yes, explain: 
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Do you have reliable transportation? 

   Yes          No

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Affirmation


* By submitting this employment application, you attest the information provided is true. 
* Please enter the letters and/or numerals you see below, exactly as shown, using upper and lower case as indicated.


 

Please, fill out the application form below...

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