Telephone Number: please use following format (000)000-0000 (Required)

Today's Date (00/00/0000) (Required)

How did you hear about the position? (Required)

Last Name (Required)

First Name (Required)

Street Address (City, ST, and ZIP Code) (Required)

Prior Street Address (City, ST, and ZIP Code)

Are you legally eligible for employment in the United States? (Required)

Yes

No

Have you applied here before? (Required)

Yes

No

Are you 18 or Older? (Required)

Yes

No

Have you served in the Armed Forces? (Required)

Yes

No

If so, what branch?

Describe any training received relevant to the position for which you are applying (Required)

Which positions are you applying for? (Required)

What date can you start? (00/00/0000) (Required)

Total hours available to work per week? (Our shifts are from 6am-10pm) (Required)

MONDAY Available Hours with AM/PM(ex: Monday 10am-4pm) (Required)

TUESDAY Available Hours with AM/PM(ex: Tuesday 10am-4pm) (Required)

WEDNESDAY Available Hours with AM/PM(ex: Wednesday 10am-4pm) (Required)

THURSDAY Available Hours with AM/PM(ex: Thursday 10am-4pm) (Required)

FRIDAY Available Hours with AM/PM(ex: Friday 10am-4pm) (Required)

SATURDAY Available Hours with AM/PM(ex: Saturday 10am-4pm) (Required)

SUNDAY Available Hours with AM/PM(ex: Sunday 10am-4pm) (Required)

Do you have reliable transportation to and from work? (Required)

Yes

No

Highest grade Completed? (Required)

Highschool: (Required)

City/State (Required)

Are you currently working for this Employer?

Yes

No

Graduated (Required)

Yes

No

College:

City/State

Graduated

Degree Achieved

Other:

If yes, may we contact? (Required)

Yes

No

Company Name (Required)

Address:

Phone Number (000)-000-0000 (Required)

Dates Employed (00/00/0000)-(00/00/0000) (Required)

Job Title (Required)

Supervisor's Name: (Required)

Duties (Required)

Reason for leaving (Required)

Company Name (Required)

Address:

Phone Number (000)-000-0000 (Required)

Dates Employed (00/00/0000)-(00/00/0000) (Required)

Job Title (Required)

Supervisor's Name: (Required)

Duties (Required)

Reason for Leaving (Required)

Company Name (Required)

Address:

Phone Number (000)-000-0000 (Required)

Dates Employed (00/00/0000)-(00/00/0000) (Required)

Job Title (Required)

Supervisor's Name: (Required)

Duties (Required)

Reason for leaving (Required)

Can you perform the requirements of this job with or without reasonable accommodation? (Required)

Yes

No

Please explain:

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company

What qualities do you possess that will make you an asset to this company? (Required)

Do you have any background in kosher or deli foods? Describe: (Required)

List Languages in which you are fluent (Required)

Employment References(Name and Phone Number): Include only individuals familiar with your ability. Do not include family. (Required)

I certify that I have read and understand the applicant note on page two of this form and that the answers given by me and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts may result in my discharge, if employed. I agree to conform to the rules and regulations of Rein’s Deli. I understand that the use of illegal drugs is prohibited during employment. I understand that my employment by the company may be terminated at any time, without notice, for any reason that is not prohibited by law. I further understand that acceptance of an offer of employment does not create a contracted obligation upon Rein’s Deli to continue to employ me in the future. I authorize Rein’s Deli to verify any of the information contained on my application including, but not limited to criminal history, motor vehicle driving records and previous employment. I waive my right to privacy and hereby release from all liability, all persons, companies, organizations or corporations furnishing such information. (Required)

Employment Application