Employment at Peddler's Village

Employment Information Request Form
If you have an interest in applying for a position with us, please complete this form.

First Name:
Last Name:
Address:
City:
State:	Zip:
Day Phone:
Evening Phone:
Fax number:
EMail:
Are you responding to a print ad?
	Yes No
If yes what is the specific job advertised?
Position
Availability	Weekends Days Holidays Nights
Current Employer
Are you 18 years or older?
	Yes No
Other Job Releated Experience:

Other Comments:

Resume: