1. Personal Information
First Name: Zachary Middle Initial: A Last Name: Relitz
Address: 7587 Immanuel ave s. Address 2:
City: Cottage Grove State/Province: Minnesota Zip/Postal Code: 55016 Country: United States
Home Phone Number: (651) 769-1478 Cell Phone Number: Email Address: zrelitz@yahoo.com
Questionnaire Information
Position: Sandwich Artist
Have you ever worked for a Subway Sandwich Shop before? No
If YES, when/where?
Are you 16 years of age or older (proof of age or work permit may be required)? Yes
Are you legally able to be employed in this country(if hired, verification will be required by law)? Yes
What type of position are you seeking? Part Time
Are there any restrictions on the hours or days you are able to work? Yes
If YES, please explain? Still Currently in High School
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
Total hours available per week: 20 PM PM PM PM PM Any Any
Date available to start to work? 5/15/2012
Education Information
Education Name Years City State Country Field Of Study Degree
High School Park High School 1 Cottage Grove Minnesota United States Recieve diploma No
High School Menahga High school 7 Menahga Minnesota United States Recieve diploma No
Employment History
Company: Sarpinos Pizzaria Address: 1803 Geneva Avenue Phone Number: 6515012020
North Oakdale Mn
Supervisor: Teddy Job Title: cook Started: 8/1/2011 Ended: 11/1/2011
Starting Salary: $7.25 Salary Type: Hourly Ending Salary: $7.25 Salary Type: Hourly
Major Responsibilities: cook Pizzas, answer phones, kitchen prep, Reason Left: Family problems
wash dishes
Name: Zachary A Relitz, Date applied: 5/13/2012 Page 1

2. References Information
Name Phone Relation Years Known
none 6517691478 uncle 1
Name: Zachary A Relitz, Date applied: 5/13/2012 Page 2