20 Wilton Road, Westport, CT 06880 | 203-454-8600
Name: Email: Phone: What position are you applying for? What days and shifts are you available to work? What is your minimum salary/commission % requirement? Do you have a reliable way to get to work? - Yes No Other than being personally sick, is there any reason you cannot be at work when scheduled and on time? - Yes No If you answered yes, please explain: If we offer you a job, are you willing to take a drug test today or no later than tomorrow? - Yes No Are you willing to sign a release form that allows us to perform a background check and verify all the references you provide? - Yes No Would you return to Peter Coppola for services? - Yes No You may also attach your resume below. You may only attach files in .txt, .pdf and .doc format.