Mini Application
An "Equal Opportunity" Employer

Todays Date
Applicant Name
Address
Phone
E-mail Address

Are You:

Under 16

Over 16

Over 18

You must be at least 16 yrs. old to work at Fishers

Have you ever worked for Fishers before?

Yes

No

At which store would you prefer to work?
Cherry Ave NE	West Tusc
Harrison Ave SW	44th St
Fulton Dr	Lincoln Way
North Canton (Northpointe)

What is the first date of your availability?

Hours Available to Work:
Applicants for ANY position will not be considered unless available most evenings and weekends.

	M	T	W	TH	F	SA	SU
From:
To:

Education

School Name:
School Activities:

Employment History

Company:
Address:
Position Held:
Supervisor's Name:
Employed From:	To:
Reason For Leaving: