Position Applying For: *

Full Name: *

Mailing Address: *

Email Address: *

Telephone Number: *

Mobile Phone Number: *

Available: Full-Time Part-Time Temporary Holiday Work*

Available Start Date: *

Salary Desired: *

Days/Hours you are able to work: *

Are you currently employed? Yes No *

If yes, where?

Are you over 18? Yes No *

Are you a U.S. Citizen? Yes No *

If no, can you provide work papers? Yes No

Have you ever been convicted of a felony, misdemeanor or any crime? Yes No *

If yes, please explain

Education

High School Attended: *

Years Completed: Graduated? Yes No *

College Attended:

Major/Degree : Graduated? Yes No

Secondary School Attended:

Major/Degree: Graduated? Yes No

Employment History

Company Name: *

City/State: *

Position(s) held: *

Duties Performed: *

Employed From/To: *

Starting Wage/Salary: * Ending Wage/Salary: *

Reason For Leaving: *

Supervisor/Boss: * Title: *

May We Contact Him/Her? Yes No * Phone Number:

Company Name:

City/State:

Position(s) held:

Duties Performed:

Employed From/To:

Starting Wage/Salary: Ending Wage/Salary:

Reason For Leaving:

Supervisor/Boss: Title:

May We Contact Him/Her? Yes No Phone Number:

About You

I am Vegan Vegetarian Omnivore *

How did you hear about Cosmo's Vegan Shoppe? *

What talents, skills, super hero powers do you possess? (ex. web design, graphic design, etc.) *

What are your hobbies?

*required field

*by clicking submit, you certify that everything you've entered is true and accurate to the best of your knowledge and you understand that if employed; false or misleading information provided herein may result in immediate dismisal.

If you wish to print the application and fax it in or hand it in person, please click here .

Cosmo's Vegan Shoppe is an equal opportunity employer.