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Applicant Information
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Employment Position
Position(s) applying for:
How did you hear about this position?
What days are you available for work?
What hours or shift are you available for work?
On what date can you start working if you are hired?
Do you have reliable transportation to and from work?
Salary desired:

Personal Information
Are you 18 years of age or older?	- Choose an Option - Yes No
Are you a U.S. citizen or approved to work in the United States?	- Choose an Option - Yes No
What document can you provide as proof of citizenship or legal status?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?	- Choose an Option - Yes No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.):

Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying (Note: Manhattan's NY Deli & Pub complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.):

Education and Training
High School (name, location city and state, year graduated, degree earned):
College/University (name, location city and state, year graduated, degree earned):
Vocational School/Specialized Training (name, location city and state, year graduated, degree earned):

Military
Are you a member of the Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?

1. Previous Employment
Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

2. Previous Employment
Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

3. Previous Employment
Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

References (Please provide 2 personal and professional reference(s) below)
Professional Reference 1 (name and contact information):
Professional Reference 2 (name and contact information):

Applicant Signature
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