Personal Information

    Are you a U.S. citizen?
    Are you authorized to work in the U.S.?
    Have you served in the U.S. military?







    Add any high schools, colleges, and trade schools.
    + Add School


    Add any past work experience.
    + Add Employer


    Add your professional references.
    + Add Reference
    Have you ever been employed by the Village Market & Cafe before?
    Are there any days or hours that you cannot work?
    Please list any days and/or hours that you cannot work below. Please explain the reason you are not available during these times or days.
    May we contact your current employer?
    Include name of employee(s) and relationship.


    Village Market & Caf is an "at-will" and equal opportunity employer.

    I understand that if I am hired, my employment will be for no definite period and that, if hired, my employment is AT-WILL. This means that if hired either the company or I can end the employment relationship at any time without notice and for any or no reason. No person other than the President of Village Market & Caf has the authority to modify this agreement nor make any agreement to the contrary on behalf of Village Market & Caf. Any such modification must be made in writing and signed by the President.

    I understand that Village Market & Caf reserves the right to have me complete a pre-employment medical questionnaire and to require me to submit to a pre-employment medical examination and/or drug test to the extent permitted by law. I authorize Village Market & Caf to investigate my driving record, my criminal record, my credit history, my educational background and my personal references and may interview neighbors and others with whom I am acquainted. This inquiry may include information regarding my character, general reputation, personal characteristics and mode of living.

    I further understand that Village Market & Caf may contact my previous employers and I authorize those employers to disclose to Village Market & Caf all records and other information pertinent to my employment with them.

    I certify that all of the information that I provide in this application for employment and in any interview with company personnel will be true and accurate. I further understand that if I am employed and any such information is later found to be false or misleading in any material respect, I will be dismissed.


    Digital Signature