PMD Applications

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DATE	NAME	PHONE	POSITION	CITY
04/01/26	Juan Gracida	(805) 201-5123	Delivery Driver	Oxnard
Personal Information Full Name Juan Gracida Street Address 160 W Iris St City Oxnard State CA Zip Code 93033 Lived here how long? > 5 Years Phone (805) 201-5123 Email juan.gracida1@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: 5pm To: 11pm Tuesday From: 5pm To: 11pm Wednesday From: 5pm To: 11pm Thursday Unavailable Friday From: 5pm To: 12am Saturday From: 4pm To: 10pm 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 Viewfinder Inc. (fedex) From 11/18 To Job Title Delivery Driver Supervisor Carlos Rodriguez May we contact? Yes No Phone Number (805) 637-1517 Duties Load, and deliver packages in Ventura Why did you leave? Correctly employed Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number Duties Why did you leave? Comments Willing to work later on Saturdays if needed. Also willing to go in to work on some Thursdays if needed.
04/01/26	Santiago	(805) 881-9017	Delivery Driver	Carpinteria
Personal Information Full Name Santiago Street Address 1322 Post Ave City Carpinteria State CA Zip Code 93013 Lived here how long? > 5 Years Phone (805) 881-9017 Email xavi17reyesv@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 From: 5pm To: 11pm Thursday From: 5pm To: 11pm Friday From: 5pm To: 11pm 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 Carl’s Jr From 06/20 To 06/25 Job Title Cashier Supervisor Denis May we contact? Yes No Phone Number (805) 684-4079 Duties Sometimes cook, clean, great customers either respect, get orders out officially and timely manner, treat customers like family, keep everything stocked up in the front and the back. Why did you leave? Better job opening Company #2 Name Coastal Chevrolet From 11/25 To 01/26 Job Title Service Poster Supervisor Paul de La Cruz May we contact? Yes No Phone Number (877) 802-6494 Duties Wash and clean cars, take customers home, make sure customers are comfortable, chat and get to know our customers, keep the work stations clean, oil changes here and there. Why did you leave? Did not get any promotion as I was promised Comments I am very excited hopefully I get the opportunity to work and grow here make some great connections and grow with the business.
03/31/26	Leslie H Jeremiah McKinney	(626) 200-0584	Delivery Driver	Port Hueneme
Personal Information Full Name Leslie H Jeremiah McKinney Street Address 322 Blue Dolphin Dr City Port Hueneme State CA Zip Code 93041 Lived here how long? 1 Year Phone (626) 200-0584 Email mckinneyjd200@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: 11pm Tuesday From: 7pm To: 10pm Wednesday From: 6pm To: 11pm Thursday From: 5pm To: 11pm Friday From: 4pm To: 12am Saturday From: 12pm To: 8pm 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 Jack In the Box From 01/20 To 11/23 Job Title Crew Member Supervisor Cashier May we contact? Yes No Phone Number (805) 684-4079 Duties Take orders keep front comfortable and nice for new customers Why did you leave? School and sports Company #2 Name McDonald’s From 11/24 To 08/25 Job Title Team Member Supervisor Cook May we contact? Yes No Phone Number (877) 802-6494 Duties Had to prepare nuggets burgers and fries and refill ice cream machine time to time and sometimes wash dishes Why did you leave? Wasn’t enough hours
03/30/26	Jorge Estrada Estrada	(805) 721-1916	Delivery Driver	Ventura
Personal Information Full Name Jorge Estrada Estrada Street Address 61 W Vince St City Ventura State CA Zip Code 93001 Lived here how long? 3 Years Phone (805) 721-1916 Email theprojectboys805@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 From: 5pm To: 11pm Friday From: 5pm To: 12am Saturday From: 11am To: 6pm 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 Wallenius Wilhelmsen From 06/25 To 10/26 Job Title Heavy Accessory Installer Supervisor Fernando May we contact? Yes No Phone Number (805) 684-4079 Duties Install accessories to new cars ,trailer hitches , install software ,cameras. Wheels, ect Why did you leave? Still employed Company #2 Name Uber Eats From 04/24 To 08/26 Job Title Food Delivery Supervisor Self May we contact? Yes No Phone Number (877) 802-6494 Duties Pick up food & deliver Why did you leave? Still employed Comments I do have restaurant experience over 5yrs and delivery experience, resume upon request
03/24/26	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? 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 Unavailable Saturday From: 5pm To: 12am Sunday From: 4pm 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 Dans From 03/24 To 12/25 Job Title Driver Delivery Supervisor Edgar May we contact? Yes No Phone Number (805) 684-4079 Duties Why did you leave? Store closed permanently Company #2 Name Urbane Cafe From 03/10 To 09/17 Job Title Supervisor Supervisor Norman May we contact? Yes No Phone Number (877) 802-6494 Duties Why did you leave? Started a bisiness Comments Im looking for an oportunity on Moorpark location, Santa Paula Location, Collection location, Oxnard location. I also have experience on making pizzas, supervisor, register. I fist worked at pizza man in 2018 thank you!
03/11/26	Christian	(805) 342-3210	Delivery Driver	Oxnard
Personal Information Full Name Christian Street Address 4600 Dallas Dr City Oxnard State UT Zip Code 93033 Lived here how long? > 5 Years Phone (805) 342-3210 Email rickmortyy47@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 Motaur Express From 02/24 To 09/26 Job Title Delivery Driver Supervisor Mike May we contact? Yes No Phone Number (805) 416-3350 Duties delivery driver Why did you leave? got layed off Company #2 Name Marshall Logistics From 05/25 To 03/26 Job Title Delivery Driver Supervisor Meagan Marshall May we contact? Yes No Phone Number (503) 459-6293 Duties delivery driver Why did you leave? got layed off Comments i got alot of experience delivering to peoples homes and businesses
03/09/26	Victor Maranon	(805) 612-6221	Delivery Driver	Oxnard
Personal Information Full Name Victor Maranon Street Address 153 N I St City Oxnard State CA Zip Code 93030 Lived here how long? Just Moved Phone (805) 612-6221 Email vikos.vm@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 Medical Kitchen From 04/25 To 03/26 Job Title Delivery Driver Supervisor Andrez May we contact? Yes No Phone Number (805) 853-9466 Duties Delivery meals Why did you leave? I’m still working there Company #2 Name Spark Driver From 02/22 To 07/25 Job Title Driver Supervisor N/a May we contact? Yes No Phone Number (805) 612-6221 Duties Delivery groceries Why did you leave? Slow down
03/05/26	Carlos Antonio Mercado	(310) 890-8036	Delivery Driver	Oxnard
Personal Information Full Name Carlos Antonio Mercado Street Address 268 East Dollie Street City Oxnard State CA Zip Code 93033 Lived here how long? 2 Years Phone (310) 890-8036 Email charlieam58@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: 10pm Tuesday From: 4pm To: 10pm Wednesday From: 4pm To: 8pm Thursday From: 4pm To: 8pm Friday From: 4pm To: 10pm Saturday From: 7am To: 1pm Sunday From: 7am To: 1pm How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Pacifica Senior Living From 09/22 To 05/23 Job Title Caregiver Supervisor Nancy Gonzales May we contact? Yes No Phone Number (805) 853-9466 Duties assist clients Why did you leave? better job Company #2 Name Regency Palms From 10/23 To 12/25 Job Title Caregiver Supervisor Nancy Aguirre May we contact? Yes No Phone Number (805) 612-6221 Duties assist clients Why did you leave? better opportunities
03/04/26	Rafael Iglesias	(805) 940-3227	Delivery Driver	Santa Paula
Personal Information Full Name Rafael Iglesias Street Address 515 Sycamore St City Santa Paula State CA Zip Code 93060 Lived here how long? > 5 Years Phone (805) 940-3227 Email rafaeliglesias212@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: 8am To: 5pm Tuesday Unavailable Wednesday Unavailable Thursday Unavailable Friday From: 8am To: 5pm 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 Golf N Stuff From 05/25 To 03/26 Job Title Ride/park Attendant Supervisor N/a May we contact? Yes No Phone Number (805) 793-3943 Duties Cleaning and implementing the establishment's rules and regulations and customer service. I completed task throughout the day that consist of Maintenance and Cleaning. Why did you leave? Put on leave till the summer Company #2 Name Motion Wheels Llc From 03/24 To 05/24 Job Title Ride Attendant/supervisor Supervisor Edwin May we contact? Yes No Phone Number (818) 966-7833 Duties I supervised children and implemented the safety regulations given to the customres. Cleaning the surrounding area was also a task and customer service. Why did you leave? The company moved to a different city. Comments I am open to any position that is available.
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 (805) 793-3943 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 (818) 966-7833 Duties Why did you leave? Made my own business Comments Thi application is to be for pizza man on collection. Thank you !!!
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) 793-3943 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 (818) 966-7833 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.
02/22/26	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 (818) 966-7833 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
02/18/26	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 (805) 604-1122 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 (805) 488-0877 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!
02/16/26	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? 1 Year 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 From 08/24 To 12/25 Job Title Driver Supervisor Edgar May we contact? Yes No Phone Number (805) 604-1122 Duties Why did you leave? Store closed out Company #2 Name Urbane Cafe From 01/15 To 02/24 Job Title Assistant Manager Supervisor Norman May we contact? Yes No Phone Number (805) 488-0877 Duties Why did you leave? Started own business Comments Pizza man in Camarillo closed. So hopefully you guys need someone at your collection location store 25 I believe. Thanks!
02/11/26	David Arias	(805) 263-8055	Delivery Driver	Oxnard
Personal Information Full Name David Arias Street Address 1741 Arcadia St City Oxnard State CA Zip Code 93033 Lived here how long? 5 años Phone (805) 263-8055 Email canada_zm87@hotmail.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: 4 p. m. To: 23:00 horas Tuesday From: 4 p. m. To: 23:00 horas Wednesday From: 4 p. m. To: 23:00 horas Thursday From: 4 p. m. To: 23:00 horas Friday From: 4 p. m. To: 12 a. m. Saturday From: 4 p. m. To: 12 a. m. Sunday From: 4 p. m. To: 23:00 horas How long can you work these hours? Less Than 1 Month 1-3 Months 3-6 Months Indefinitely Employment History Company #1 Name Riveras Janitorial Services From 02/17 To 01/26 Job Title Supervisor May we contact? Yes No Phone Number (805) 607-0569 Duties Limpieza general Why did you leave? Sigo trabajando ahi Company #2 Name Laguna Farms From 01/15 To 02/17 Job Title Supervisor May we contact? Yes No Phone Number (805) 488-0877 Duties Why did you leave? Comments Vine a la tienda cuando no tenian luz y Tres empleados de la tienda me dijeron que preguntara por Gaby.
02/11/26	Justin Phillips	(805) 304-3873	Delivery Driver	Ventura
Personal Information Full Name Justin Phillips Street Address 642 Doyle Ln City Ventura State CA Zip Code 93003 Lived here how long? 2 Years Phone (805) 304-3873 Email jphilgcc@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: 10pm Tuesday Unavailable Wednesday From: 5pm To: 10pm Thursday From: 4pm To: 10pm Friday From: 5pm To: 11pm Saturday From: 11am To: 11pm 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 Children's Hunger Fund From 02/18 To 04/26 Job Title National Supply Chain Director Supervisor Buddy Brewer May we contact? Yes No Phone Number (805) 607-0569 Duties Managed GIK Team, vendor relationships, and CRM systems Why did you leave? Still Employed Company #2 Name Marco's Pizza From 08/25 To 01/26 Job Title Driver Supervisor Alex May we contact? Yes No Phone Number (217) 304-7269 Duties Driver, worked the cut table, and front of store duties Why did you leave? Store Closed Comments Hi, I am looking for a second job in the evenings. I was previously employed as a driver at Marco's Pizza for the last 6 months until the store closed. I have a clean driving record, have never been in an accident, and have great customer service skills. Thank you for considering!
02/08/26	Francisco Lagunes	(805) 414-0456	Delivery Driver	Oxnard
Personal Information Full Name Francisco Lagunes Street Address 175 James Av. City Oxnard State CA Zip Code 93033-6240 Lived here how long? > 5 Years Phone (805) 414-0456 Email flagunes186@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: 11am To: 6pm Tuesday From: 11am To: 6pm Wednesday From: 11am To: 6pm Thursday From: 11am To: 6pm Friday From: 11am To: 6pm Saturday From: 11am To: 6pm Sunday From: 11am To: 6pm 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) 607-0569 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (217) 304-7269 Duties Why did you leave?
02/01/26	Emmanuel K Becerra	(805) 509-0114	Delivery Driver	Oxnard
Personal Information Full Name Emmanuel K Becerra Street Address 458 E Date St City Oxnard State CA Zip Code 93033 Lived here how long? > 5 Years Phone (805) 509-0114 Email eckro@live.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 Hungry Howie's Pizza From 01/12 To 12/18 Job Title Cook Supervisor Robert May we contact? Yes No Phone Number (805) 670-3083 Duties Dough prep, cashier, customer service, cook, oven, and other miscellaneous duties Why did you leave? The place of employment was too far away from my new residence Company #2 Name Laguna Grove Service From 09/18 To 02/26 Job Title Herbicide Technician/irrigation Maintenance Supervisor Mike May we contact? Yes No Phone Number (805) 668-8326 Duties Fixed/maintained irrigation systems on orchard farms, sprayed herbicides, and other miscellaneous farmhand duties Why did you leave? Current place of employment. Comments I am currently employed but would like to start new work as a pizza delivery driver or any other duties asked of me. My full focus would be on this job since my current job is lacking in work hours. I am very familiar with pizza. Thank you for considering my application
01/29/26	Goliath Razo	(805) 216-5081	Delivery Driver	Oxnard
Personal Information Full Name Goliath Razo Street Address 3120 Lassen St City Oxnard State CA Zip Code 93033 Lived here how long? Phone (805) 216-5081 Email razogoliath@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 Walmart From 06/23 To 02/25 Job Title Produce Stocker Supervisor Bobby May we contact? Yes No Phone Number (805) 670-3083 Duties Why did you leave? Company #2 Name Amazon From 03/25 To 11/25 Job Title Stower Supervisor Ceaser May we contact? Yes No Phone Number (805) 668-8326 Duties Why did you leave?
01/26/26	Roberto Garcia Borbon	(805) 758-9375	Delivery Driver	Oxnard
Personal Information Full Name Roberto Garcia Borbon Street Address 221 S. Marquita St City Oxnard State CA Zip Code 93020 Lived here how long? 3 Years Phone (805) 758-9375 Email betogarcia39@hotmail.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: 10am Tuesday From: 5pm To: 10am Wednesday From: 5pm To: 10am Thursday From: 5pm To: 10pm Friday From: 5pm To: 10pm Saturday From: 12pm To: 10pm Sunday From: 12pm 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 Self Employed From 09/10 To 01/26 Job Title Janitorial Supervisor May we contact? Yes No Phone Number (805) 670-3083 Duties Cleaning Why did you leave? Not leaving Company #2 Name Marco’s Pizza From 01/23 To 01/26 Job Title Delivering Driver Supervisor Alex Donaldson May we contact? Yes No Phone Number (805) 668-8326 Duties Why did you leave? Shot down stores
01/20/26	Samuel Ovieda	(818) 359-0786	Delivery Driver	Santa Paula
Personal Information Full Name Samuel Ovieda Street Address 317 N Ojai St City Santa Paula State CA Zip Code 93060 Lived here how long? Just Moved Phone (818) 359-0786 Email samovieda@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 Autozone From 04/23 To 01/26 Job Title Parts Delivery Driver Supervisor Juan Zamora May we contact? Yes No Phone Number (805) 288-4390 Duties Delivered automobile parts/products to assigned customers. Assisted walk-in customers with their inquiries and merchandise products. Operated cash register and handled cash/electronic payments. Operated company vehicle and performed daily maintenance of company vehicle. Why did you leave? Recent family matter required a change in my work hours which was denied. Company #2 Name Caregiver From 09/09 To 04/22 Job Title Caregiver Supervisor Self May we contact? Yes No Phone Number (805) 668-8326 Duties I became my grandfather's full time caregiver due to his illness. Why did you leave? My grandfather passed away in 2022. Comments After my grandfather's passing I took a year of much needed rest and returned to the work force in April, 2023.
04/15/26	Martha Lopez Norris	(805) 795-7023	Manager	Camarillo
Personal Information Full Name Martha Lopez Norris Street Address 2024 Ventura Blvd 205 City Camarillo State CA Zip Code 93010 Lived here how long? 1 Year Phone (805) 795-7023 Email marthaaalopez@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: 6am To: 2pm Tuesday From: 6am To: 2pm Wednesday From: 12pm To: 11pm Thursday From: 12pm To: 11pm Friday From: 6am To: 2pm 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 Orangetheory From 06/24 To 05/26 Job Title Studio Manager Supervisor Shanee Akers May we contact? Yes No Phone Number (805) 402-7033 Duties Schedule, plan events, manage 12+ staff, host meetings monthly, trainings daily, attend conferences, order inventory, replace/fix broken equipment. Why did you leave? Schedule Company #2 Name Charleys From 08/21 To 04/24 Job Title General Manager Supervisor Amanda Villalobos May we contact? Yes No Phone Number (915) 319-0320 Duties Order inventory, pick up items when out, schedule, training, drive through, organize, run restaurant most days, communicate with sister restaurants. Manage 20+ staff Why did you leave? Moved state. Comments I also worked at a pizza restaurant, same Owner as Charleys. Restaurant was called Sun City slice in El Paso. Locally owned. Studio managed. Made pizzas. Made dough. Delivery hosted school events served alcohol.
07/13/26	Nathan Aguayo	(805) 727-6732	Pizza Maker	Santa Paula
Personal Information Full Name Nathan Aguayo Street Address 560 Salas St City Santa Paula State CA Zip Code 93060 Lived here how long? > 5 Years Phone (805) 727-6732 Email nathanaguayo40@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: 11pm 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 Amazon From 09/25 To 07/26 Job Title Associate Supervisor May we contact? Yes No Phone Number (805) 402-7033 Duties Unloading Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (915) 319-0320 Duties Why did you leave?
07/12/26	Eugene Bajenting	(805) 816-4417	Pizza Maker	Camarillo
Personal Information Full Name Eugene Bajenting Street Address 3523 Germain St City Camarillo State CA Zip Code 93010 Lived here how long? > 5 Years Phone (805) 816-4417 Email petercardeno@yahoo.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 From: 6am To: 11pm Thursday Unavailable 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 Wok N South Mongolian Bbq From 10/18 To Job Title Cook Supervisor May we contact? Yes No Phone Number (805) 402-7033 Duties Why did you leave? Company #2 Name From To Job Title Supervisor May we contact? Yes No Phone Number (915) 319-0320 Duties Why did you leave?

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364 Applications