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Personal Data
Name (Last, First, Middle): *
Social Security Number: *
Address: *
City: *
State: *	-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code: *
Home Phone Number: *
Can you provide proof of U.S. citizenship?	YesNo
Email: *
Which Saladelia Cafe location are you applying for?	DurhamDuke UniversityEither
How did you hear about current job openings at Saladelia Cafe?

Type of Work Desired
Deli Counter StaffDriverBakerCatering AdministrationFood PrepSandwich MakerDishwasher Sandwich MakerOther
Availability:	Full-TimePart-TimeTemporary
Please list the Days and Times Available

Employment History
May we contact these employers?	YesNo
Please list present or most recent employer first.

Job 1 Employer: Telephone: Supervisor: Job Title: Length of Employment:	Job 2 Employer: Telephone: Supervisor: Job Title: Length of Employment:
Job 3 Employer: Telephone: Supervisor: Job Title: Length of Employment:	Job 4 Employer: Telephone: Supervisor: Job Title: Length of Employment:

Please answer the following questions:
Do you have transportation?	YesNo
Are you bilingual?	YesNo
If Yes, then what languages.

What special skills or previous work experiences do you have that will enhance your job performance?

What does "good service" mean to you and how would you apply it here Saladelia caf's?

We strongly believe in a team-oriented environment. Briefly describe what being a team member means to you.

If we were to check your references, what do you think your previous employer would name as your greatest strength and weakness?

Have you been a guest at Saladelia Cafe?

YesNo

If yes, please describe what you enjoyed most about your visit:
If there is anything else that you would like to tell us about yourself, please do so now: