Online Pilgrim Cleaners Employment Form

Contact Information

First Name: *

MI:

Last Name: *

Address: *

Apt #:

City: *

State: *

Zip: *

Primary Phone: *

Alternate Phone:

Email:

Employment Information

Position Sought: *

Wage Expectation:

Wage Amount: $

When are you available to work? (Specific hours for each day of the week) : *

Have you ever applied for work with Pilgrim Cleaners?:

If yes, provide date:

Have you ever been employed with Pilgrim Cleaners?: *

If yes, provide employment dates: From

employment date end: to

Reason For Leaving:

Are you currently employed?:

If yes, may we contact your present employer?:

If hired can you document your identity and eligibility to work in the United States?: *

On what date are you available to begin work if a position is offered?: *

If on another date, please specify the date:

Can you travel if a position requires it?:

Specify any languages you are fluent in:

Cover Letter and Resume

Please cut and paste your cover letter below (address to the Corporate Human Resources Director):

Please cut and paste your resume below: