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:

Age and Work Authorization

* Are you over 18?

Yes No

* Are you authorized to work in the US?

Yes No

Education

High School:	Graduated?	Yes No

College/University:	Graduated?	Yes No	Diploma/Major:

Graduate School:	Graduated?	Yes No	Diploma/Major:

Other Education:	Graduated?	Yes No	Diploma/Major:

Employment History

Have you previously worked for Fresh City?	Yes No

If Yes, When?		Where?

Current or Last Position

Company Name:		Position:

Telephone:		Supervisor:

Wage:		Hourly Weekly Bi-Weekly Annually

Dates Employed From:		To:

Contact Name:		Contact Telephone:

Reason for Leaving:	Resigned Terminated Other

Explanation:

Prior Position

Company Name:		Position:

Telephone:		Supervisor:

Wage:		Hourly Weekly Bi-Weekly Annually

Dates Employed From:		To:

Contact Name:		Contact Telephone:

Reason for Leaving:	Resigned Terminated Other

Explanation:

Prior Position

Company Name:		Position:

Telephone:		Supervisor:

Wage:		Hourly Weekly Bi-Weekly Annually

Dates Employed From:		To:

Contact Name:		Contact Telephone:

Reason for Leaving:	Resigned Terminated Other

Explanation:

Military Service

Served in the military?

Yes No

Branch:		Rank:

Dates of Duty From:		To:

Affiliations and Community Service

Organization:	Involvement:	Dates From:	To:

Organization:	Involvement:	Dates From:	To:

Organization:	Involvement:	Dates From:	To:

References

Name:

Telephone:

Relationship:

Years Known:

Name:

Telephone:

Relationship:

Years Known:

Name:

Telephone:

Relationship:

Years Known:

Position and Availability

Location:

Position:

Desired Wage:

Hourly Weekly Bi-Weekly Annually

I Wish to Work:

Full Time Part Time

Hours Per Week:

Willing to Work Weekends?

Yes No

Do you have other responsibilities that would limit your availability to work?

Yes No

If yes, explain:

Do you have reliable transportation?

Yes No

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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