PMD Applications

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DATE	NAME	PHONE	POSITION	CITY
02/18/26	Kiera Celyn Isarraras	(805) 990-3317	Cashier	Moorpark
Personal Information Full Name Kiera Celyn Isarraras Street Address 52 2nd St City Moorpark State CA Zip Code 93021 Lived here how long? 1 Year Phone (805) 990-3317 Email kieraisarraras12@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6pm To: 11pm Tuesday From: 6pm To: 11pm Wednesday From: 6pm To: 11pm Thursday From: 6pm To: 11pm Friday From: 5pm To: 11pm Saturday From: 5pm To: 11pm Sunday From: 5pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Dennys From 04/25 To 11/25 Job Title Host Supervisor Gaspar Hernandez May we contact? Yes No Phone Number (818) 919-6474 Duties Seating customers, packing online orders Why did you leave? Unhealthy Environment Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number Duties Why did you leave? Comments I am currently employed at San Fernando Coffee Co and am looking to pick up additional hours. I am also an athlete, so I do have scheduled practices, but I am very organized and communicate clearly about my availability.
02/18/26	Mayaztec 1	(805) 296-2177	Delivery Driver	Oxnard
Personal Information Full Name Mayaztec 1 Street Address 311 Central Ave City Oxnard State CA Zip Code 93036 Lived here how long? Phone (805) 296-2177 Email mayaztec1@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 5pm To: 11pm Tuesday From: 5pm To: 11pm Wednesday Unavailable Thursday From: 5pm To: 11pm Friday From: 5pm To: 12am Saturday From: 5pm To: 12am Sunday Unavailable How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Pizza Man Camarillo From 08/18 To 12/25 Job Title Driver Supervisor Edgar May we contact? Yes No Phone Number (818) 919-6474 Duties Pizza cut. Delivery Why did you leave? Store closed out Company #2 Name Urbane Cafe From 09/10 To 08/17 Job Title Assist. Manager Supervisor Norman Del Toro May we contact? Yes No Phone Number Duties Managment Why did you leave? Started a business Comments Im filling this application for the store in Ventura (victoria Ave) or the store in Oxnard (the collection) thank you!
02/19/26	Devan Maxwell	(805) 861-4074	Any	Ventura
Personal Information Full Name Devan Maxwell Street Address 134 E Ramona City Ventura State CA Zip Code 93001 Lived here how long? Just Moved Phone (805) 861-4074 Email devan.maxwell@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6pm To: 11pm Tuesday From: 6pm To: 11pm Wednesday From: 6pm To: 11pm Thursday From: 6pm To: 11pm Friday From: 6pm To: 12am Saturday From: 6am To: 12am Sunday Unavailable How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Las Posas Children’s Center From 08/09 To 02/26 Job Title Site Director Supervisor Bobby May we contact? Yes No Phone Number (805) 650-3375 Duties Daily operations of an after school childcare program and summer camp. Why did you leave? Currently employed, seeking additional employment Company #2 Name Regency Theaters From 01/06 To 08/09 Job Title Lead Stafd Supervisor Josh Calabrese May we contact? Yes No Phone Number Duties Customer service, inventory, concession sales, ticket sales, sanitation Why did you leave? New job
02/19/26	Elijah A Haigh	(805) 670-9629	Any	Ventura
Personal Information Full Name Elijah A Haigh Street Address 4898 Thille Street City Ventura State CA Zip Code 93003 Lived here how long? > 5 Years Phone (805) 670-9629 Email ehaigh24@outlook.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 11pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 11pm Friday From: 6am To: 12am Saturday From: 6am To: 12am Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Cold Stone Creamery From 06/25 To 02/26 Job Title Cold Stone Employee Supervisor Curtis Chang May we contact? Yes No Phone Number (805) 405-3270 Duties Cash register, making cakes, cleaning the facility, customer service, making ice cream, stocking and refilling. opening and closing shop Why did you leave? I left due to the poor management and severe lack of hours Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number Duties Why did you leave?
02/19/26	Jacob Robert Gonzalez	(805) 703-0949	Delivery Driver	Port Hueneme
Personal Information Full Name Jacob Robert Gonzalez Street Address 1476 North 5th Place City Port Hueneme State CA Zip Code 93041 Lived here how long? > 5 Years Phone (805) 703-0949 Email jacob88gonzalez@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 11pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 11pm Friday From: 6am To: 12am Saturday From: 6am To: 12am Sunday From: 11am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Nordstrom Rack From 05/24 To 09/25 Job Title Sales Associate Supervisor Taryn Gerome May we contact? Yes No Phone Number (805) 604-1122 Duties Stocking sales floor Helping customers find items and checking prices Doing Markdowns Running go-backs Working in fitting rooms Talking to customers on the phone Greeting customers Why did you leave? Better opportunity Company #2 Name Subway From 11/21 To 10/22 Job Title Sandwich Artist Supervisor Teresa May we contact? Yes No Phone Number (805) 488-0877 Duties Opening and closing restaurant Preparing and restocking foods and drinks Food handling Cashier Taking phone and online orders Completing customer orders Why did you leave? Better opportunity
02/20/26	Vincent Gomez	(805) 846-8017	Any	Oxnard
Personal Information Full Name Vincent Gomez Street Address 1101 Novato Dr City Oxnard State CA Zip Code 93035 Lived here how long? Just Moved Phone (805) 846-8017 Email gomvincen@icloud.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 2pm To: 11pm Tuesday From: 2pm To: 11pm Wednesday From: 2pm To: 11pm Thursday From: 2pm To: 11pm Friday From: 1pm To: 11pm Saturday From: 6am To: 11pm Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Calabasas Farmers Market From 01/23 To 06/25 Job Title Sales Associate Supervisor Junior May we contact? Yes No Phone Number (805) 607-4648 Duties - Served customers in a fast-paced environment - Handled sales through cashier, with accuracy and excellent customer service - Maintained a clean and hygienic work environment to ensure food safety Why did you leave? Seasonal Company #2 Name Wild Cherry ~ Froyo & Boba From 09/25 To 11/25 Job Title Crew Member Supervisor Vijay (aj) May we contact? Yes No Phone Number (916) 743-8211 Duties -Greeted customers and Served them with a positive attitude -Practice strict food safety standards by keeping a clean work environment and hygiene -Made boba drinks and smoothies -Provided accurate cashier service Why did you leave? Moved Cities, and it interfered with my work hours, so I gave 2 week notice. Comments I’m motivated Senior high school student with a driver’s license, seeking a part-time position. Experienced in fast paced, customer service environments. Dependable, and ready to be part of a strong team.
02/21/26	Briana	(805) 746-8714	Cashier	Ventura
Personal Information Full Name Briana Street Address 10829 Del Norte St City Ventura State CA Zip Code 93004 Lived here how long? 1 Year Phone (805) 746-8714 Email bburciaga134@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 2pm To: 11pm Tuesday From: 4pm To: 11pm Wednesday From: 10am To: 5pm Thursday From: 4pm To: 11pm Friday From: 8am To: 3pm Saturday From: 10am To: 5pm Sunday From: 5pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name From 06/25 To 02/26 Job Title Supervisor Self Employed May we contact? Yes No Phone Number (805) 607-4648 Duties -prep and make chocolate covered strawberries Than package and sell them to costumers Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave?
02/21/26	Shayne	(818) 274-7350	Pizza Maker	Moorpark
Personal Information Full Name Shayne Street Address 4832 Mira Sol Dr City Moorpark State CA Zip Code 93021 Lived here how long? 1 Year Phone (818) 274-7350 Email shaynstar88@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 10pm Tuesday From: 6am To: 10am Wednesday From: 6am To: 11am Thursday From: 6am To: 10pm Friday From: 6am To: 10pm Saturday From: 6am To: 10pm Sunday From: 6am To: 10pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Numero Uno From 02/26 To Job Title Supervisor May we contact? Yes No Phone Number (805) 607-4648 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave? Comments I'm 47 years old I've worked at 5 pizza places I just didn't fill them out because I don't remember the dates and times
02/22/26	Eric Bernabe	(805) 774-9183	Delivery Driver	Santa Paula
Personal Information Full Name Eric Bernabe Street Address 139 S 8th St City Santa Paula State CA Zip Code 93060 Lived here how long? > 5 Years Phone (805) 774-9183 Email ericbernabe254@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 2pm To: 9pm Tuesday From: 2pm To: 9pm Wednesday From: 2pm To: 9pm Thursday From: 12pm To: 10pm Friday From: 12pm To: 11pm Saturday From: 12pm To: 12am Sunday From: 12pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Dominos From 10/24 To 02/26 Job Title Delivery Driver Supervisor Albert May we contact? Yes No Phone Number (805) 746-5481 Duties Delivering, closing, and topping the pizzas Why did you leave? Less hours Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave?
02/22/26	Kevin Nava	(805) 881-2661	Any	Moorpark
Personal Information Full Name Kevin Nava Street Address 100 S Moorpark Ave City Moorpark State CA Zip Code 93021 Lived here how long? 1 Year Phone (805) 881-2661 Email nava.fnd@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 3pm To: 11pm Tuesday From: 3pm To: 11pm Wednesday From: 3pm To: 11pm Thursday From: 3pm To: 11pm Friday From: 3pm To: 11pm Saturday From: 6am To: 11pm Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Honda From 06/25 To 01/26 Job Title Front Desk Associate Supervisor Allen Escobedo May we contact? Yes No Phone Number (805) 407-5118 Duties Assisted with scheduling and handling incoming phone calls. Why did you leave? Moved Away Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave?
02/23/26	Carlos Escobar	(805) 296-2177	Delivery Driver	Oxnard
Personal Information Full Name Carlos Escobar Street Address 311 Central Ave City Oxnard State CA Zip Code 93036 Lived here how long? 2 Years Phone (805) 296-2177 Email mayaztec1@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 5pm To: 11pm Tuesday From: 5pm To: 11pm Wednesday Unavailable Thursday From: 5pm To: 11pm Friday From: 5pm To: 12am Saturday From: 5pm To: 12am Sunday From: 5pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Pizza Man From 08/24 To 12/25 Job Title Driver, Pizza Cut Supervisor Edgar May we contact? Yes No Phone Number (805) 407-5118 Duties Why did you leave? Restaurant closed Company #2 Name Urbane Cafe From 02/10 To 02/17 Job Title Supervisor Supervisor Norman Del Toro May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave? Made my own business Comments Im willing to work weekends and also I worked at pizza man in 2018 for the first time.
02/23/26	Nicholas Keefover	(805) 861-3822	Any	Ventura
Personal Information Full Name Nicholas Keefover Street Address 1422 Chipmunk Circle City Ventura State CA Zip Code 93003 Lived here how long? > 5 Years Phone (805) 861-3822 Email nick.keefover@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 11pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 11pm Friday From: 6am To: 12am Saturday From: 6am To: 12am Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Target Corporation From To Job Title Team Member Supervisor Paula Taylor May we contact? Yes No Phone Number (805) 644-9871 Duties Stocking/Customer Service/Online Order Fulfillment Why did you leave? Health concerns around COVID-19 Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (916) 743-8211 Duties Why did you leave? Comments Ate here since I was a kid, would love the opportunity to make the pizza of my childhood.
02/23/26	Alejandra Isarraras	(805) 506-1383	Any	Moorpark
Personal Information Full Name Alejandra Isarraras Street Address 4806 Elderberry Ave City Moorpark State CA Zip Code 93021 Lived here how long? > 5 Years Phone (805) 506-1383 Email alejandraisarraras@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 9am To: 2pm Tuesday From: 9am To: 2pm Wednesday From: 9am To: 2pm Thursday From: 9am To: 2pm Friday From: 9am To: 2pm Saturday Unavailable Sunday Unavailable How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Happyher Events and Entertainment From 05/25 To Job Title Event Support Assistant Supervisor Makeeta Birdsong May we contact? Yes No Phone Number (323) 308-0791 Duties Served desserts and drinks to customers, Cleaning, setup and breakdown event. Work up to a 10-hour shift in a fast paced environment. Why did you leave? Continue working Company #2 Name Independent From 03/25 To Job Title Caregiver Supervisor Makeeta Birdsong May we contact? Yes No Phone Number (323) 308-0791 Duties Prepared and served meals according to dietary requirments while maintaining strict food safety standards. Maintained a clean and organized kitchen to ensure safe environment. Provided attentive, client-focused support, emphasizing consistency, quality, and comfort. Why did you leave? Continue working Comments Professional volunteer experience: MJ Mission Burrito and Coffee A La Mode. Certification in ServSafe Food Handler.
02/23/26	Micaela Dominguez	(805) 340-2682	Pizza Maker	Ventura
Personal Information Full Name Micaela Dominguez Street Address 6500 Telephone Road Apt 1001 City Ventura State CA Zip Code 93003 Lived here how long? > 5 Years Phone (805) 340-2682 Email micaeladominguez912@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 4pm To: 8pm Tuesday Unavailable Wednesday Unavailable Thursday From: 4pm To: 8pm Friday From: 4pm To: 8pm Saturday From: 4pm To: 8pm Sunday From: 4pm To: 8pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Ventura Townehouse From 07/24 To 01/26 Job Title Busser Supervisor Bryan Gross May we contact? Yes No Phone Number (805) 642-3263 Duties • clean and organizing tables & busscarts in dining room • bringing food and other kitchen necessities into dining room. • maintenance Why did you leave? Change in work hours Company #2 Name Little Caesar’s Pizza From 06/23 To 11/23 Job Title Crew Member Supervisor Jamie Ortiz May we contact? Yes No Phone Number (805) 535-4135 Duties • preparing food • cashier • answering phone calls for customer service • maintenance • stocking products on shelves Why did you leave? Change in work hours
02/23/26	Daniela Godinez	(805) 206-4972	Cashier	Moorpark
Personal Information Full Name Daniela Godinez Street Address 176 Everett St City Moorpark State CA Zip Code 93021 Lived here how long? > 5 Years Phone (805) 206-4972 Email danielagodinez85@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 3pm To: 10pm Tuesday From: 3pm To: 10pm Wednesday From: 3pm To: 10pm Thursday From: 3pm To: 10pm Friday From: 3pm To: 10pm Saturday From: 8am To: 5pm Sunday From: 8am To: 5pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name From To Job Title Supervisor May we contact? Yes No Phone Number (805) 642-3263 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (805) 535-4135 Duties Why did you leave? Comments I am currently attending at Moorpark High School and am available to work weekdays after 3:30 PM and any hours on weekends
02/23/26	Wes K Ramirez	(509) 741-6160	Any	Highland
Personal Information Full Name Wes K Ramirez Street Address 7478 Teneya Ct City Highland State CA Zip Code 92346 Lived here how long? Just Moved Phone (509) 741-6160 Email wes.k.ramirez@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 11pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 11pm Friday From: 6am To: 12am Saturday From: 6am To: 12am Sunday From: 1pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Aerofoam From 02/25 To 03/25 Job Title MacHine Operator Supervisor Leonard May we contact? Yes No Phone Number (951) 514-9301 Duties Manufacture parts/ QC every part before sending it to next phase. Why did you leave? Laid Off Company #2 Name Reid MacHine From 06/24 To 02/25 Job Title MacHine Operator Supervisor Darrel May we contact? Yes No Phone Number (951) 245-8850 Duties Manufacture parts/ QC every part before sending it to next phase. Why did you leave? Let Go Comments please note my address is for mailing purposes and not my place of residence. I live in Ventura California. As u can see my experience is outside of the food industry. I'm seeking a change of pace and new opportunities. Thank you for your time reviewing my job application and I hope to hear from you soon.
02/24/26	Carson	(805) 836-5147	Any	Ventura
Personal Information Full Name Carson Street Address 536 E Thompson Blvd City Ventura State CA Zip Code 93001 Lived here how long? 1 Year Phone (805) 836-5147 Email carson.personal@protonmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 11pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 11pm Friday From: 6am To: 12am Saturday From: 6am To: 12am Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name McDonalds From To Job Title Register+driver Through Worker Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties Take Orders, Help Customers in the Lobby Why did you leave? The staff and managers(high schoolers) treated me poorly and I moved shortly after Company #2 Name Little Caesers From To Job Title Dough Maker+more Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties I mostly made the dough most morning and helped make the pizza crust+bread sauce Why did you leave? The staff and managers(high schoolers) treated me poorly and I moved shortly after Comments Hello, I live 1 block away and will always be able to make work on time and can fill in anyone calling in, easily. I studied Computer Science and was in the Bay Area doing programming work for 8+ years before moving down south. I fell on hard times and am looking for work. I recently worked at the McDonalds in Oxnard and before that the Little Caesars near the airport. I have my food handlers card and am very professional. I am also a great driver and have no record. Please let me know if you would like any more information. ~ Carson Bath (805-836-5147 --- carson.personal@protonmail.com)
02/24/26	Matthew Reyes	(805) 822-4704	Any	Santa Paula
Personal Information Full Name Matthew Reyes Street Address 218 N 8th St City Santa Paula State CA Zip Code 93060 Lived here how long? Phone (805) 822-4704 Email mtrmatthew23@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday Unavailable Tuesday Unavailable Wednesday Unavailable Thursday Unavailable Friday Unavailable Saturday Unavailable Sunday Unavailable How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name From To Job Title Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties Why did you leave?
02/24/26	Carlos	(805) 296-2177	Delivery Driver	Oxnard
Personal Information Full Name Carlos Street Address 311 Central Ave City Oxnard State CA Zip Code 93036 Lived here how long? Phone (805) 296-2177 Email mayaztec1@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 5pm To: 11pm Tuesday From: 5pm To: 11pm Wednesday Unavailable Thursday From: 5pm To: 11pm Friday From: 5pm To: 12am Saturday From: 5pm To: 12am Sunday From: 5pm To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Pizza Man From 08/24 To 12/25 Job Title Driver Supervisor Edgar May we contact? Yes No Phone Number (951) 514-9301 Duties Why did you leave? Store closed permanently Company #2 Name Urbane Cafe From 08/10 To 10/17 Job Title Supervisor Supervisor Norman May we contact? Yes No Phone Number (951) 245-8850 Duties Why did you leave? Made my own business Comments Thi application is to be for pizza man on collection. Thank you !!!
02/25/26	Allysson Simental	(805) 236-6096	Any	Oxnard
Personal Information Full Name Allysson Simental Street Address 516 Dylan Dr City Oxnard State CA Zip Code 93036 Lived here how long? > 5 Years Phone (805) 236-6096 Email simentalallysson@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 4pm To: 9pm Tuesday From: 4pm To: 9pm Wednesday From: 4pm To: 9pm Thursday From: 4pm To: 9pm Friday From: 4pm To: 9pm Saturday From: 9am To: 3pm Sunday From: 9am To: 3pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name N/a From To Job Title N/a Supervisor N/a May we contact? Yes No Phone Number (951) 514-9301 Duties N/A Why did you leave? N/A Company #2 Name N/a From To Job Title N/a Supervisor N/a May we contact? Yes No Phone Number (951) 245-8850 Duties N/A Why did you leave? N/A Comments N/A
02/27/26	Elias Flores	(805) 407-3200	Pizza Maker	Ventura
Personal Information Full Name Elias Flores Street Address 1350 Winford Ave City Ventura State CA Zip Code 93004 Lived here how long? > 5 Years Phone (805) 407-3200 Email eaflo2007@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday Unavailable Tuesday From: 2pm To: 7pm Wednesday Unavailable Thursday From: 9am To: 5pm Friday From: 9am To: 5pm Saturday From: 9am To: 5pm Sunday From: 9am To: 5pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Wings Over Camarillo From 08/24 To 08/24 Job Title Parking Attendant Supervisor N/a May we contact? Yes No Phone Number (951) 514-9301 Duties Assisted hundreds of guests with parking guidance and directions. • Answered guest questions and resolved confusion during peak hours. • Maintained a friendly, professional attitude in a high-volume environment Why did you leave? Volunteer Work Company #2 Name Buena Wrestling From 10/24 To 11/24 Job Title Community Fundraising Representative Supervisor Eddie Martinez May we contact? Yes No Phone Number (951) 245-8850 Duties Engaged directly with community members to promote fundraising campaigns. • Built quick rapport and communicated goals clearly and confidently. • Represented the organization professionally during in-person outreach Why did you leave? Volunteer Work Comments I also do have a resume if you guys are interested in looking at the full one.
02/28/26	Miguel Moreno	(805) 814-5524	Cashier	Oxnard
Personal Information Full Name Miguel Moreno Street Address 501 de Anza Way City Oxnard State CA Zip Code 93033 Lived here how long? > 5 Years Phone (805) 814-5524 Email miguelmoreno3068@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 4pm To: 8pm Tuesday From: 4pm To: 8pm Wednesday From: 4pm To: 8pm Thursday From: 4pm To: 8pm Friday From: 4pm To: 9pm Saturday From: 7am To: 9pm Sunday From: 7am To: 9pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name From To Job Title Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties Why did you leave? Comments Thank you.
03/01/26	Lyllian Johnson	(805) 651-5650	Cashier	Port Hueneme
Personal Information Full Name Lyllian Johnson Street Address 753 Halyard St City Port Hueneme State CA Zip Code 93041 Lived here how long? > 5 Years Phone (805) 651-5650 Email lyllianjohnson@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 12pm To: 9pm Tuesday From: 10am To: 7pm Wednesday From: 12pm To: 9pm Thursday From: 12pm To: 9pm Friday From: 12pm To: 9pm Saturday From: 12pm To: 9pm Sunday From: 12pm To: 9pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Hollister From 03/25 To 12/25 Job Title Cashier/ Store Associate Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties fold and hang inventory, ring up customers & provide dressing room access Why did you leave? I was a seasonal worker so after I was let go but told I could reapply again Company #2 Name Cvs Pharmacy From 01/26 To 02/26 Job Title Cashier/ Front End Stocker Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties replace old or expired shelf teams with newer date items, ring up and bag customer’s items and complete daily tasks that were assigned Why did you leave? I was only scheduled for 12-15 hours every two weeks and i’m looking for something full time
03/01/26	Lyllian Johnson	(805) 651-5650	Cashier	Port Hueneme
Personal Information Full Name Lyllian Johnson Street Address 753 Halyard St City Port Hueneme State CA Zip Code 93041 Lived here how long? > 5 Years Phone (805) 651-5650 Email lyllianjohnson@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 10am To: 10pm Tuesday From: 10am To: 10pm Wednesday From: 10am To: 10pm Thursday From: 10am To: 10pm Friday From: 10am To: 10pm Saturday From: 10am To: 10pm Sunday From: 10am To: 10pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Hollister From 03/25 To 12/25 Job Title Cashier/ Store Associate Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties fold and hang up inventory, provide dressing room access, & ring up online and in store orders Why did you leave? I was a seasonal worker so I was let go but told I could always reapply Company #2 Name Cvs Pharmacy From 01/26 To 02/26 Job Title Cashier Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties remove old or out of date items and replace with up to date ones, ring up customers items and handle cash, card transactions Why did you leave? I was only scheduled 12-15 hours every two weeks and i’m looking for something full time
03/02/26	Noah Sides	(805) 328-8409	Any	Moorpark
Personal Information Full Name Noah Sides Street Address 4725 Moorpark Ave, Apt 11 City Moorpark State CA Zip Code 93021 Lived here how long? Just Moved Phone (805) 328-8409 Email noahasides@gmail.com Job Questionnaire Job desired? Any Bartender Cashier Delivery Driver Manager Operator Pizza Maker Security Supervisor Are you English/Spanish bilingual? Yes No Are you 18 or older? Yes No Can you legally work in the USA? Yes No Did you graduate from high school, or GED? Yes No Do you have any DUI's in the last 6 years? Yes No Do you have an insured auto for use during work? Yes No Do you have a valid CA Driver's License? Yes No Will you always report to work on time? Yes No Are you (or will you soon be) attending classes? Yes No Do you have experience in Food Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Customer Service? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Do you have experience in Supervision? 0-6 Months 6-12 Months 1-2 Years 2-3 Years 3+ Years Availability Monday From: 6am To: 11pm Tuesday From: 6am To: 2pm Wednesday From: 6am To: 11pm Thursday From: 6am To: 2pm Friday From: 6am To: 11pm Saturday From: 6am To: 11pm Sunday From: 6am To: 11pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Addison Behavioral Resources From 11/25 To 03/26 Job Title Behavior Technician Supervisor May we contact? Yes No Phone Number (951) 514-9301 Duties Assist Autistic Children with learning social and educational skills Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (951) 245-8850 Duties Why did you leave?

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372 Applications