If No, please list birth date.  

  If Yes, please list dates and location(s).  

Have you ever been convicted of a felony or serious misdemeanor?  -- Please select --  YesNo

  If Yes, please list dates and location(s).  

AVAILABILITY

Do you have a dependable way to get to work? *  -- Please select --YesNo

Please indicate the times you are available to work:

EDUCATION

MEDICAL INFORMATION

PREVIOUS EMPLOYMENT

REFERENCES

Please enter the text shown in the image above.

I certify that this form is accurate and completed to the best of my knowledge.

It is hereby agreed that the undersigned employee shall be hired by SUB STATION II and will be trained in the preparation of SUB STATION II sandwich methods. The undersigned will be given confidential information concerning the ingredi-ents, portions thereof, and methods of preparation of SUB STATION II sandwiches and will be taught methods for dealing with the public and any other SUB STATION II methods of operation.

For and in consideration of the provisions aforesaid, I do hereby agree, while an employee of SUB STATION II not to, directly or indirectly, engage as employee, agent or owner, alone or with any other person or firm in the operation of sand-wich shops other than SUB STATION II sandwich shops; nor attempt to use, outside the scope of present employment, the name SUB STATION II or SUB STATION II SUBMARINES, or any variation thereof, or any of the other trade or service marks, in any manner whatsoever, or use the same or similar methods of preparation for submarine sandwiches or any other items or kind of methods of preparation of submarine sandwiches or related items.