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Indicate the hours you can work at any time. Use N/A if you are not available at all that day or state the specific hours you are available.

Begin with your most recent or present employer. Please fill out completely.

Employment Dates

Hourly Rates

Employment Dates

Hourly Rates

Employment Dates

Hourly Rates

Person to notify in case of an emergency

SWEET PEPPERS DELI is an equal opportunity employer, federal, and/or state law prohibits discrimination in employment because of race, color, creed, sex, age, disability, national origin, citizenship, veterans or marital status. I certify that all the information furnished on this application is true, complete and correct. I understand and agree that any falsification, misrepresentation, misleading statement or omission or fact on either this application or during the pre-hire process will be sufficient for 1.) my not being offered employment, or 2.) dismissal at any time if I am employed. I authorize my former employers to provide SWEET PEPPERS DELI with any information regarding my employment and I release all parties from any liability for any damages, which result from furnishing such information.