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At Roma, everyone is family.

The opportunity for growth and earnings are endless. Please take this opportunity to apply today for employment with us.

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Applicant Data

Social Security Number

First Name

Last Name

Address

City

State

Zip

Primary Phone

Secondary Phone

Email Address

Job Information

Job Position Requested

Desired Salary

Available Start Date

Have you ever worked for Roma Durant before Yes No

If yes, when

Have you ever worked for Roma Durant before Full-Time Part-Time Temporary

If you are under 18, can you provide a work permit Yes No

If not, please explain

Are you a citizen of the United States Yes No

If not, are you legally allowed to work in the United States Yes No

Ever been convicted of a crime, exclude traffic violations Yes No

If yes, please gives dates and details

Driver's License number if applicable to position:

Issuing State:

Referral

Referred By

Work History

Previous Employment (begin with most recent position):

Dates of Employment From

Position Held

Firm

Address

Phone

Supervisor

Responsibilities

Startng Title

Starting Salary

Ending Title

Ending Salary

Reason for Leaving

May we contact this employer for reference

Dates of Employment From

Position Held

Firm

Address

Phone

Supervisor

Responsibilities

Startng Title

Starting Salary

Ending Title

Ending Salary

Reason for Leaving

May we contact this employer for reference

Dates of Employment From

Position Held

Firm

Address

Phone

Supervisor

Responsibilities

Startng Title

Starting Salary

Ending Title

Ending Salary

Reason for Leaving

May we contact this employer for reference

By Clicking Submit:

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision.

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connections withh my application.

In the event I am unemployed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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Friday and Saturday 11:00AM - 10:30PM
Sunday: 11:00AM - 9:30PM
Closed Monday