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Zeppes Location*

Which position are you applying for?*

Server

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Host/Counter

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Delivery Driver

Cook

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Management

Personal Information

NAME:*

First Last

PHONE:*

EMAIL:*

ADDRESS:*

Street Address Address Line 2 City State ZIP Code

Are you:*

Under 18

Over 18

Availability

I am interested in:*

Full Time

Part Time

Seasonal/Temporary

Are you available:

Sunday All Day

Sunday AM

Sunday PM

Monday All Day

Monday AM

Monday PM

Tuesday All Day

Tuesday AM

Tuesday PM

Wednesday All Day

Wednesday AM

Wednesday PM

Thursday All Day

Thursday AM

Thursday PM

Friday All Day

Friday AM

Friday PM

Saturday All Day

Saturday AM

Saturday PM

School Most Recently Attended

School City & State:

Last Grade Completed:

Graduated?

Yes

No

Now Enrolled?

Yes

No

Employment History

Job 1 (Most Recent)

Company Name:

Employment From (Month/Year):

MM slash DD slash YYYY

Employment To (Month/Year):

MM slash DD slash YYYY

Job Title:

Work Description:

Reason For Leaving:

Job 2

Company Name:

Employment From (Month/Year):

MM slash DD slash YYYY

Employment To (Month/Year):

MM slash DD slash YYYY

Job Title

Work Description:

Reason For Leaving:

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