Join Our Team Order Number First Name * Middle Initial Last Name * Email Address * Present Address * City State Zip Live here less than a year? * Yes No Previous address (if less than 1 year) City State Zip Contact Number * Alternate Contact Number * Are you 18 or older (must be at least 18 to work here) * Yes No Ever worked for Sub Station II? If so, where and when? * Ever been convicted of a felony or serious misdemeanor? * Yes No Are you legally eligible to work in the US? * Yes No Do you have reliable transportation? * Yes No Would you be able to deliver products within 3 miles of the shop? Yes No Do you have any food service experience? * Yes No Where and When? Availability We operate 9 am to 11 PM Monday to Saturday. 10 am to 9 pm Sunday. List hours of availability you're applying for: Education Are you currently in school? Yes No What is the last grade of education you completed? Where? Medical Do you currently have any issues that would prevent you from standing on your feet for extended periods? Yes No Explain: Any medical conditions or disabilities that would prevent you from lifting up to 30 pounds? Yes No Explain: Do you have any communicable diseases? Yes No Are you able to answer, take instruction and speak clearly in person and on the phone? Yes No Previous Employment List the last 3 places worked (if none, type NONE in each box) and please include the following: Company Name, Address Position Pay Length of Employment List of Duties Reason for Leaving Contact Name and Phone Number Previous Employer 1 * Previous Employer 2 * Previous Employer 3 * References List three people who you’ve known for at least a year (not related to you). Please provide Name, Current Contact Number, how long you’ve known them, and how you know them. Reference 1 * Reference 2 * Reference 3 * Information Summary
