Your Name (*)

Email Address (*)

Street Address (*)

City (*)

State (*)

Zip (*)

Phone number (*)

Do you have a valid driver's license?
 Yes No

Driver License #

How did you hear of job?

Position
select one...ManagerAssistant ManagerTeam Member

Store
select one...Convenience StoreQuiznos

Location
select one...Hales Corners, WIMuskego, WIMilwaukee, WI

Have you ever worked for us before?
 Yes No

If yes, dates and locations

to

All application are kept on file indefinitely, however, if you do not receive a call for an interview, you should submit a new application in 90 days.

Employment desired
 Full Time Part Time

Total hours available per week

Specify days & hours available:

Shift 1=5:00am to 2:00pm
Shift 2= 2:00pm to 11:00pm

Are you able to work at other locations

 Yes No

High School

Name

Location

Phone

Last grade completed

Grade point average

Now enrolled?
 Yes No

Graduated?
 Yes No

Scholastic honors, offices held, sports, etc:

College of Continuing Education

Name

Location

Phone

Major

Major course:

Last year completed

Grade point average

Now enrolled?
 Yes No

Graduated?
 Yes No

Degree rec-d

If no, when?

Scholastic honors, offices held, sports, etc:

List of Last Job First

May we contact your present employer?
 Yes No

Company

Location:

City

State

Job title

Supervisor's name

Duties

Dates worked:
from   to

Salary:
start per
end per

Reason for leaving:
 Quit Terminated Other
Please explain:

History

Company

Location:

City

State

Job title

Supervisor's name

Duties

Dates worked:
from   to

Salary:
start per
end per

Reason for leaving:
 Quit Terminated Other
Please explain: