Contact Information


Please note you must be a resident of Dutchess County to be considered for a position.

Which position are you applying for?

Salary requirements:

Name:

Address:

Home Phone:

Cell Phone:

Email:

Please explain any experience you may have working with the public,working in a kitchen,etc

Please specify days and times you would be available:


References


Please specify two references (with contact phone numbers):
Employer Reference #1

Employer Reference #2

Where did you hear about Cousin's?: