HOME ABOUT CONTACT EMPLOYMENT Sandy’s Fine Food Emporium Application for Employment Full Name * First Name Last Name Address * Please include street, city, state & zip code Telephone * Date of Application * MM DD YYYY Position Applied For: * Prep Cook Deli Clerk Produce Clerk Have you filed an application here before? * Yes No Have you ever been employed here before * Yes No If yes to the above, please give dates Is your spouse/relative employed at Sandy's? * Yes No Are you currently employed? * Yes No Work Experience--Employer #1 * Please list current/prior employers. Start with your present or most recent job. Include all positions which you have held during the past 10 years. Please include: Employer, Telephone, Dates Employed, Position, Address, Supervisor, Hourly Rate/Salary, Reason For Leaving Employer #2 * Please include: Employer, Telephone, Dates Employed, Position, Address, Supervisor, Hourly Rate/Salary, Reason For Leaving Employer #3 Please include: Employer, Telephone, Dates Employed, Position, Address, Supervisor, Hourly Rate/Salary, Reason For Leaving May we contact your present employer? * Yes No Are you a citizen of the United States? * Yes No If no to the above question, are you legally entitled to work in the United States? Yes No On what date would you be available for work? * Are you able to work * Full Time Part Time Temporary What are your hourly/salary requirements? * References * Give name, address, telephone number and relationship of three professional references, who are not related to you. Education * List Highest Education Achieved (school, degree) List Honors/ Awards Summarize special skills and qualifications acquired from employment or other experience which are relevant to the position(s) you are applying for Have you ever been convicted of a felony? * Yes No If yes to above, Please indicate the date of all convictions, the particular offenses for which you were convicted and the final disposition of each matter Have you been convicted within the past five years of any misdemeanor? * (other than a first conviction for drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace?) Yes No If yes to above, Please indicate the date of all convictions, the particular offenses for which you were convicted and the final disposition of each matter Please enter name and date in the space below as a signature * I certify that answers given herein are true and complete to the best of my knowledge. I understand that this application is not and is not intended to be a contract of employment.

HOME ABOUT CONTACT EMPLOYMENT Contact Sandy’s Fine Food Emporium 15 Post Road Westerly, RI 02891 Phone: (401) 596-2004 Our Hours Monday - 7:30 am - 6:00 pm Tuesday - 7:30 am - 6:00 pm Wednesday - 7:30 am - 6:00 pm Thursday - 7:30 am - 6:00 pm Friday - 7:30 am - 6:00 pm Saturday - 7:30 am - 6:00 pm Sunday - 7:30 am - 3:00 pm Have questions or comments? Please out the form below. Name * First Name Last Name Email Address * Subject * Message *