Seasonal 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? (Your answer may be Any, Only, or multiple stores.)

What is the first date of your availability?

Hours Available to Work
(Must be available any time unless due to school, part time adult positions: must be available 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: