JOIN THE MILLER’S FAMILY

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you at least 16?

Yes

No

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Morning Shift (10:15 AM - 4:00 PM)

Evening Shift (3:45 PM - 9:30 PM)

Summer Employment Only

East Providence (628 Warren Avenue)

South Attleboro (734 Newport Avenue)

Both