Preliminary Application for Employment

Equal Opportunity Employer

If you are interested in an employment opportunity please fill out and submit this form. We are always seeking new team oriented employees.
You can also contact us Monday through Friday 11:00am to 5:00pm
at 570-476-0500 ; fax 570-476-0541 or
email: employment@dansbury-depot.com

First Name      Last Name 

Address 

City    State  --Select State--AL-AlabamaAK-AlaskaAZ-ArizonaAR-ArkansasCA-CaliforniaCO-ColoradoCT-ConnecticutDE-DelawareDC-District of ColumbiaFL-FloridaGA-GeorgiaHI-HawaiiID-IdahoIL-IllinoisIN-IndianaIA-IowaKS-KansasKY-KentuckyLA-LouisianaME-MaineMD-MarylandMA-MassachusettsMI-MichiganMN-MinnesotaMS-MississippiMO-MissouriMT-MontanaNE-NebraskaNV-NevadaNH-New HampshireNJ-New JerseyNM-New MexicoNY-New YorkNC-North CarolinaND-North DakotaOH-OhioOK-OklahomaOR-OregonPA-PennsylvaniaRI-Rhode IslandSC-South CarolinaSD-South DakotaTN-TennesseeTX-TexasUT-UtahVT-VermontVA-VirginiaWA-WashingtonWV-West VirginiaWI-WisconsinWY-Wyoming   Zip 

Phone       Email 

Hours Desired  Full Time Part Time    Available Start Date 

Are you at least 18 years of age?          Yes      No
Are you a U.S. Citizen?                        Yes      No
If no, do you have a permanent visa?     Yes      No

 Work History in chronological order starting with the most recent.       
 

Education
 

Comments