Employment Application

To inquire, please fill out this form to the best of your abilities and if CCCLS chooses to move forward with your application, we will contact you. Thank you.

Name:
Address:
City:
State:
Zip:
Phone:
Mailing Address (if different):
Mailing Address City:
Mailing Address State:
Mailing Address Zip:
E-Mail:
Years at present address:
Position applied for:
Are you 18 or older?	Yes  No
Have you ever been convicted of a felony?	Yes  No
If Yes, please explain:
Employment History
Employer:
Address:
Phone Number:
Dates of Employment:
Position:
Salary/Wage:
Supervisor's Name & Title:
Reason for Leaving:
May We Contact For Reference?	Yes  No
Employer:
Address:
Phone Number:
Dates of Employment:
Position:
Salary/Wage:
Supervisor's Name & Title:
Reason for Leaving:
May We Contact For Reference?	Yes  No
Employer:
Address:
Phone Number:
Dates of Employment:
Position:
Salary/Wage:
Supervisor's Name & Title:
Reason for Leaving:
May We Contact For Reference?	Yes  No
Educational Background
School:
Years Completed:
Degree or Diploma:
Major:
School:
Years Completed:
Degree or Diploma:
Major:
School:
Years Completed:
Degree or Diploma:
Major:

All H2B and J1 Visa Employees, please go to our Visa Employment Page, here:

You may also apply for employment by mailing (Cape Cod Commercial Linen Services, Inc., P.O. Box 111 West Hyannisport, MA 02672) or faxing (508.771.1183) your resume or by visiting our office and completing an application.