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EAS Vending :: Employment Application



Become a member of our team TODAY! Call our office to see what positions are currently open and schedule an interview. We are looking forward to meeting motivated and hardworking individuals.
Applicant Information
Last Name: First: M.I. Date
Street Address Apartment/Unit #
City State ZIP
Phone E-mail Address
Date Available Social Security No. Desired Salary $
Position Applied for
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever worked for this company?
YES. When?
NO
Have you ever been convicted of a felony?
YES. Please Explain
NO

Education
High School Address
From To Did you graduate? YES Degree NO
College Address
From To Did you graduate? YES Degree NO
Other Address
From To Type of Degree
Did you graduate?
YES
NO
References (Please list three professional references.)
Full Name
Relationship

Company
Phone

Address
Full Name
Relationship

Company
Phone

Address
Full Name
Relationship

Company
Phone

Address
Previous Employment
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? YES NO
Military Service
Branch From To
Rank at Discharge Type of Discharge
If other than honorable, explain
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:
(Will be signed at interview)
Date:

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customerservice@myeasonline.com
Phone #: (267) 354-1212
Fax #: (215) 257-4865

Or send a letter to us at our office.

P.O. Box 232
Perkasie, PA 18944
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