Cape Associates, Inc.

P.O. Box 1858
345 Massasoit Road
North Eastham, MA 02651
508.255.1770
FAX 508.240.1473
info@capeassociates.com

P.O. Box 634
3223 Main Street
Barnstable, MA 02668
508.362.9770
FAX 508.362.4600

Click here for directions

Employment

General Information

First name
Middle Initial
Last name
Social Security Number
Address (Street)
Apt. No./P.O. Box No.
City
State
Zip (Postal) Code
Country
Telephone No.
Email address
Are you 18 or older?	Yes No
Birth date :

Availability

Dates Available to Work	Start: Finish:
Hours/week desired
Any restrictions in the days/hours you are available to work?
Are you legally able to be employed in the U.S.	Yes No
Type of visa applying for
How did you hear about Cape Associates?
Why do you want to work at Cape Associates?
What position are you most interested in?
Because
Do you have transportation?	Yes No

School most recently attended

Name
Address
City
State
Country
Instructor/Counselor
Dept.
Telephone No.
Email
Last grade complete
Graduated?	Yes No
Now enrolled?	Yes No
Grade point average
Activities

Three most recent jobs

Company
Address
City
State
Country
Telephone No.
Supervisor
Job
Salary
Date worked: From
Date worked: To
Reason for leaving

Company
Address
City
State
Country
Telephone No.
Supervisor
Job
Salary
Date worked: From
Date worked: To
Reason for leaving

Company
Address
City
State
Country
Telephone No.
Supervisor
Job
Salary
Date worked: From
Date worked: To
Reason for leaving

Personal References

Name
Address
Telephone
Email

Name
Address
Telephone
Email

Additionally

Any other activities or experiences relevant to your application?

I certify that I have read and completed this application and that the information is correct to the best of my knowledge. I authorize the references listed to give any pertinent information concerning my personal character and previous employment.