Date Of Application:

Name:

Address:

City:

State:

Zip:

Telephone (Day):

(Evening):

E-mail:

What position are you applying for?

Are you seeking
part time or full time employment?

Have you ever been employed by
A Very Special Place?

Yes No

 

(you may also mail this completed
application to the above adress)
Note: All information is kept strictly confidential.

E-mail: careers@veryspecialplace.org

Fax: (718)987-6065