Name

Address

City

State

Telephone

Email Address

Position PositionKitchenPaleteria

What days are you available for work?

What hours or shift are you available for work?

If needed, are you available to work overtime?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Salary desired

Have you ever applied to or worked for Paleteria El Chavo LLC before? Have you ever applied to or worked for Paleteria El Chavo LLC before? Yes No

If yes, when?

Do you have any friends, relatives, or acquaintances working for Paleteria El Chavo LLC Do you have any friends, relatives, or acquaintances working for Paleteria El Chavo LLC Yes No

If yes, state name & relationship

Are you 18 years of age or older? Yes No Are you 18 years of age or older? Yes No Yes No

Are you a U.S. citizen or approved to work in the United States? Are you a U.S. citizen or approved to work in the United States? Yes No

What document can you provide as proof of citizenship or legal status?

Please list below the skills and qualifications you possess for the position for which you are applying:

Name High School, Location (City, State) Year Graduated Degree Earned

Name College, Location (City, State) Year Graduated Degree Earned

Provide 2 personal reference(s) Name and Phone Number

What language do you speak better?

Are you willing to work weekends or holidays? Are you willing to work weekends or holidays? Yes No

Applicant Name

Dated