Which location are you applying for?

Zeeks of Seattle (please check your preferred Seattle locations below)
    Belltown North Queen Anne Greenlake Phinney Ravenna West Seattle
Zeeks of Kirkland/Bellevue
Zeeks of Issaquah
Zeeks of Redmond

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Cell Phone
E-mail

Are you under the age of 18? (yes/no)	Yes No
If yes, can you, after employment, show proof of age?	Yes No

For which position are you applying?

Driver
Kitchen
Server
Counter
Host/busser
Call Center Operator
Manager

How did you hear about the open position that you are applying for?

Craig's List

College or University online job listing	(please specify)
Current Zeeks Employee Referral	(who?)
Other	(please specify)

Why are you interested in working for Zeeks?

What is the last book you read?  Did you like it?

What is your favorite restaurant or bar?  Why do you like it?

If you could be any animal, what would you be?  Why?

Have you ever been convicted of a felony or a crime involving dishonesty or violence to another person? If yes, please explain. (Residents of Washington State are only required to disclose convictions if the conviction, or release from incarceration for the conviction, occurred in the last ten years. Convictions are not an automatic disqualification from employment.)

Are you acquainted with anyone who is/was working for Zeeks Pizza?  Who and how are you acquainted?

Recent Work History - Please list information for your last 3 jobs:

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Employer & Position:
Address & Phone:
Supervisor name:
Dates employment:
Ending wage/salary:

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Employer & Position:
Address & Phone:
Supervisor name:
Dates employment:
Ending wage/salary:

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Employer & Position:
Address & Phone:
Supervisor name:
Dates employment:
Ending wage/salary:

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Do you have your own vehicle? YES NO

Do you have a WA state drivers license? YES NO

Do you have proof of insurance? YES NO

How many moving violations do you have in the past 36 months?
none
one
two
three
four or more

References - Please list 3 professional or personal references who we may contact.

Name
Telephone #
How long have you known this person?
Relationship to you
Type of Reference	Work School Personal
Name
Telephone #
How long have you known this person?
Relationship to you
Type of Reference	Work School Personal
Name
Telephone #
How long have you known this person?
Relationship to you
Type of Reference	Work School Personal
The information I am presenting in this application is complete, true and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omissions could result in the denial of my application, withdrawal of any offer of employment, or immediate discharge. (You will be asked to sign & date a copy of this application if selected for an interview.)