Open 20 Hours a Day,
Every Day!

(with temporarily adjusted hours)

Since 1989, Serving Burlington
One Sandwich at a Time!

155 Main Street. Burlington, VT  • 802-864-4408

Job Application

    APPLICATION FOR EMPLOYMENT (Pre-Employment Application, An Equal Opportunity Employer)

    Name Today's Date

    Present Address

    Permanent Address

    Present Phone Permanent Phone

    Are you 18 years or older?YesNo If No, how old?

    Are you prevented from lawfully becoming employed in this country due to Visa or immigration status?YesNo

    EMPLOYMENT DESIRED

    Position Date you can start

    Are you employed now?YesNo If Yes, by whom?

    Referred by

    EDUCATION

    High School: Name and location

    Years Attended Graduate?

    College: Name and location

    Years Attended Graduate? Subjects Studied

    Other: Name and location Other Information

    GENERAL

    Something About Yourself

    WRITE DOWN THE BEST TIMES AVAILABLE FOR YOU TO WORK (deli hours: 7am-3am):
    Sun


    Mon


    Tues


    Wed


    Thu


    Fri


    Sat

    FORMER EMPLOYERS List below last three employers, starting with most recent

    Job 1: From-To(date/month/year)

    Employer Name

    Address

    Phone of Employer Salary

    Position Reason For Leaving

    Job 2: From-To(date/month/year)

    Employer Name

    Address

    Phone of Employer Salary

    Position Reason For Leaving

    Job 3: From-To(date/month/year)

    Employer Name

    Address

    Phone of Employer Salary

    Position Reason For Leaving

    REFERENCES Please give the name of one person not related to you, whom you have known at least one year

    Name Phone

    Business Years Acquainted

    IN CASE OF EMERGENCY

    Name Address

    Phone

    Have you ever been convicted of a felony?YesNo

    If so, for what?

    I certify that all the information submitted by me on this application is true and complete and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause and with or without notice at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed with or without cause and with or without notice at any time by the company. I understand that no company representative, other than the president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.

    I agree that the above is true (please type your name)