Printable Application for Employment  (Adobe Reader required)

About Us >> Employment Opportunities

Disclaimer: Vincent Piazza Jr. & Sons Seafood is a drug-free environment. Prospective employees will receive consideration without discrimination of race, creed, color, sex, age, national origin, handicap or veteran status.

Instructions: Please fill out the application form below. You will be contacted if a position that meets your qualifications is available or becomes available in the future.

Personal Information:

Evening Telephone:
Have you ever applied
with us before?
If Yes, when?
(MM/DD/YYYY)
Social Security
Number:
Are you legally eligible to work in the United States?
Will you work overtime if asked?

Education:

Type of School Name & Location of School Course of Study # of Years Completed Did you graduate?
High School:
College:
Business/Trade:
Graduate:
Do you have any special training or skills?

Employment History:

Please give your accurate and complete full-time and part-time employment record. Start with your present or most recent employer first.

Employer 1:

Company Name: Business Telephone:
Address: How long were you employed? (MM/YY)
From:  To:
Name of Supervisor: Weekly Pay:
Start:   Last:
Job Title & Job Description: Reason For Leaving:
May We Contact This Employer? If "No", please state reason:

Employer 2:

Company Name: Business Telephone:
Address: How long were you employed? (MM/YY)
From:  To:
Name of Supervisor: Weekly Pay:
Start:   Last:
Job Title & Job Description: Reason For Leaving:
May We Contact This Employer? If "No", please state reason:

Employer 3:

Company Name: Business Telephone:
Address: How long were you employed? (MM/YY)
From:  To:
Name of Supervisor: Weekly Pay:
Start:   Last:
Job Title & Job Description: Reason For Leaving:
May We Contact This Employer? If "No", please state reason:

Employer 4:

Company Name: Business Telephone:
Address: How long were you employed? (MM/YY)
From:  To:
Name of Supervisor: Weekly Pay:
Start:   Last:
Job Title & Job Description: Reason For Leaving:
May We Contact This Employer? If "No", please state reason:

Military:

Did you serve in the U.S. Armed Forces? If "Yes", in what Branch?
Describe any training received that may be relevant
to the position for which you are applying.

The information requested below is needed for a legally permissible reason including without limitation national security considerations, a legitimate occupational qualification, or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most states also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status, and sexual preferences.

Dates that you attended school:

Elementary: High School: College:
From: From: From:
To: To: To:
How many dependents do
you have including yourself?
Marital Status: Are you a United States Citizen?
What was your previous address? How long at present address? How long at previous address?
Have you ever been bonded? Are you over 18 years of age?
  If "Yes" with what employer(s)?
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
 If "Yes", please describe in full:  
Please state names of relatives and friends working for us, other than your spouse.  
 

Signature:

The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit or personal history I authorize you to do so. If a report is obtained you must provide at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

By placing your initials in the box below, you digitally sign this document.

Today's Date:
07/05/2008
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