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We are currently accepting applications for the upcoming season.
(Please note: All required fields are marked with a *.)

Applicant Information

*Name:

Local Address:

Permanent Address:
*Phone (inc. area code):
Alt. Phone:
*Email:
*Are you 18 years or older?:
*Are you eligible to work
in the U.S.?
*Position Applying For:
*Available Start Date:
Available End Date:


Recent Employment
Dates (from/to):
Position:
Employer's Name:
Employer's Address:
Employer's Phone:
Reason for leaving?
May we contact for a reference?
 Yes No

Dates (from/to):
Position:
Employer's Name:
Employer's Address:
Employer's Phone:
Reason for leaving?
May we contact for a reference?
 Yes No

Dates (from/to):
Position:
Employer's Name:
Employer's Address:
Employer's Phone:
Reason for leaving?
May we contact for a reference?
 Yes No


Education
High School:
Address:
Years completed:
Did you graduate?
 Yes No
College:
Address:
Years completed:
Did you graduate?
 Yes No
Major/Degee:
Trade/Business School:
Address:
Years completed:
Did you graduate?
 Yes No
Major/Degee:


References
Please provide information for two people whom you are not related to, and by whom you have not been employed.
*Name:
Address:
*Phone:
*Name:
Address:
*Phone:


Additional Information
Have you been convicted of a felony within the past 5 years?
 Yes No
If yes, please provide details:
Please provide us with any additional information
you want to share:


Authorization
"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.

I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE."
Signature:*
Date:*


on the waterfront
193A Commercial St.
Provincetown, MA 02657
508.487.1527 ~
info@piedbar.com
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