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APPLICATION FOR EMPLOYMENT AT
Subway
262 NE Agness Ave
Grants Pass OR 97526
541-955-1962
An Equal Opportunity Employer. Reasonable accommodation will be provided as required by law.
Last Name
Middle Initial
First Name
Street Address
City/State
If hired, can you provide evidence of
legal eligibility to work in the U.S.?
Yes
No
Zip Code
Phone Number
Wage/Salary Desired:
Are you 18 years of age or older?
Yes
Email
Any offer of employment is conditioned upon completing form I-9 and
providing the appropriate documents for identity and work authorization.
Position Desired:
Date you can begin work?
Social Security Number
No
Full Time?
Part Time?
If under 18 years of age, you will be required to submit a birth
certificate or work certificate as required by state or federal law.
Name of high school attended:
City/State
Graduate?
GED?
Name of college or technical school:
City/State
Degree?
Major:
If yes, give name & address of school and expected degree date:
Are you presently enrolled in school?
Yes
No
List any job-related skills or accomplishments, including military service:
- YOUR AVAILABILITY FOR WORK Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
From:
To:
Total hours per week you
are available to work:
Do you have any special requests or needs for a work schedule?
Sunday
- REFERENCES - Provide Three References Who Are Not Former Employers Who We May Contact Name and Occupation
How do you know them, and for how long?
Phone Number
- YOUR EMPLOYMENT HISTORY List names of employers with present or last employer listed first.
May we contact current employers before you are offered a position?
Name of Employer:
Yes
No
Job Title:
Dates of Employment:
From:
City, State, Zip Code
Address:
Supervisor:
Telephone:
Name of Employer:
To:
Duties:
Reason for Leaving:
Starting pay:
Job Title:
Dates of Employment:
From:
City, State, Zip Code
Address:
Supervisor:
Telephone:
Name of Employer:
To:
Duties:
Reason for Leaving:
Starting pay:
Job Title:
City, State, Zip Code
Supervisor:
Telephone:
Reason for Leaving:
Ending pay:
Dates of Employment:
From:
Address:
Ending pay:
To:
Duties:
Starting pay:
Ending pay: