7-ELEVEN INDEPENDENT FRANCHISEE STORE EMPLOYMENT APPLICATION NOTICE ‘Some positions may require completion of a multiple choice, typing or other job-related test. Please indicate if you need accommodations to complete the application process, YES Cl NO ‘PERSONAL INFORMATION — INFORMATION WILL BE VERIFIED ‘Name (La Fr Mio) Sosa Sesty Nimber | Prone No ‘Sree across oy Sate [Zp Wel Adress Fave ou ever wore Tor Eleven? Yea] Wye whore and whan? No Five yu ever apd Yes | Wyes, wher ad whan? ico wen’ Eten No Do you have ay uresticied rahe work for any enploverin be US? | Wyes, olan | ves "a No | Wilyou at ome pontine ft require sporsorshipiorenpioyment | ves exon / sutorzaton? O ves 2 No Have you or anyone under your supervision, ever been cited fora violation | yes, explain of ageresticied product sales laws (e.g, sles of tobacco, alcohol or lotr tckets to underage customers)?” Cl Yes ( No ‘Can you upon employment, submit verification of your legal ightto workin the | How ded you hear about us? United States and documentation veifving your dentty? C1 Yes D1 No Were you refered by a 7-Eleven employes? Cl Yes. No) | It yes, please write the employee name anc location here. | EMPLOYMENT INTERESTS Position for which you are applying? Hourly Wage Expected Date Avaliable in regerd to ital work location, do youhave any] yes, explain 1D FulkTime 22+ hours | preference?” Yes C1 No 1 Part-Time Less than 32 hours | ‘Are there any hours, shits or days you cannot or | Ifyes, explain wil notwork? (Yes 0 NO ‘STORE POSITIONS ONLY Please indicate which sit you are interested in woking. Please also indicate your second choice. Shit hours may vary, please selec the one that most closely matches the hows you are avaiable. (1" shit 7am.-3pm.: 2 shit 3pm-tipm, 3" shit Vipm-Tam) First Choice: _1" shit _2”*shit ssh Second Choice: _1* shit 2 shit 3° shit "EDUCATION INFORMATION WILL BE VERIFIED. ‘SCHOOL NAME! HIGHEST GRADE, ‘COURSE MAIOR MTY, STATE DIPLOMA OR DEGREE High Schoo! College, Business, — Vocational or Other Training (noe wom rode ‘tach seperate page) Forno, RECIES (Re 1208)"EMPLOYMENT HISTORY — INFORMATION WILL BE VERIFIED; COMPLETE TELEPHONE NUMBERS WITH AREA CODE ARE NECESSARY Please ist ALL JOBS, beginning wit your present or last employer. Account for ALL tine periods, including UNEMPLOYMENT. "EMPLOYMENT. and US MiLTArCY SERVICE Dates of Emplent Sart Saar] End Sk 1. Company Name sow 2 al across ee | nd Toa Wont Word ony Site Zp _ Monte | Monh_ ve Too Te Deparment Soper Trent employed, ay] Tauphone Naber wocafatempyer? Dee ane oO ies and espnaon Tipe ofBusness Ress for Lev Dom GReted © Dacharged Reta to Scho! 1 Bets Opportnty B Oner Ena C [Bates ofEmpiomnent Sart Saar] End Slr 2. Company Name | me a ae etree fd “oa nth Word cy Stop Mmm ve | Mon vr__ Job Title Department ‘Supervisor eurrently employed, may | Telephone Number wocontctenpoyer | Ove ane lo Dies and Respnabes [ fpe of Bisess Reason for Leaving | Dost D Reed 2 Dectaged 8 eum to Schoo 5 Bete Opomunty | 8 Onersen _ Dates of Sant Sa Pan : jes of Enptent Saary_] End Slay ress fa ‘Start End Total Months Worked oy Ste | monn ye | Monts ve To Tie Deparment Soper cant empty, ay | Teophone Nanber wecoiaceneoye? 0 Yes 0 No ) Ties and Responaos ] Fipe of Buses ease fr Lev | Oost Reed © Decharged | i Retun to Schoo 1 Beter pony | 8 Ot Sea : "Eire ht conte hers win Bs wor re which elas conleraon oe quae atons fr enploymet of appcarts wo (a have ps o mertl aon ordi cr ray be oar asa Gaby (are eaboevtra ae) ar velo Vat ri you war fb cased endear of ee roges You ate fc to arte ths nfomaton he employment ereerave when You sub ts spcaton You maj aaa poise norman on tess andor Peete You ue rte seo perl fe por whch appa ane nature ape a acconraatore whch yu tel on employe nay ned make noe aie yeu Fara abn pont ana he acti Vendors Fanpop eve) a ‘ereaoraton you nay cae er erioymert employ gre to contr ta fh pole and procecies of Bven ean recognize Baty mot sd companaabn canbe emit with witout ‘huts an wiht note aan be understand bat ho ploy ofr: ter ha an Ofte’ te Corporation has ssh oe ay siaeert ‘mploent ora pected prod te Any aprenert rs peed ped of te most ben wring and eign and ante bythe Oe’ ana Employee ‘Avpieaon's Signatory Dat, MARYLAND APPLICANTS: Unde Manan low, an eye may nat rere or dmand any appa or enploymet or repecve employer or any employe © saw te poate neo tan nerd nab cnn ea Ay ene Hes PN Gy ofamiesereana and Soc ae oo xed S100 Avplieatons Signature ae AN EQUAL OPPORTUNITY EMPLOYER - MIF/DV