Quick Application For Employment
Charley's is an equal opportunity employer

We consider applicants for all positions without regard to race, color, sex, religion, national origin, age, disability, marital or veteran status.

Name:
Address:
City:
State:				Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Email:
Phone:
Are you 18 years or older?				Yes		No
If hired, can you provide the documents required to prove that you are authorized to work in the U.S.?
Yes		No
EDUCATION
Elementary & Jr. High
Name/Location:
Course of Study:
No. Years Completed:
Diploma/Degree:
High School
Name/Location:
Course of Study:
No. Years Completed:
Diploma/Degree:
College
Name/Location:
Course of Study:
No. Years Completed:
Diploma/Degree:
Technical
Name/Location:
Course of Study:
No. Years Completed:
Diploma/Degree:
Other
Name/Location:
Course of Study:
No. Years Completed:
Diploma/Degree:
EMPLOYMENT RECORD
Employer 1
Company Name:
Address/City/ST/Zip:
Phone:
Supervisor:
Position:
Employment Dates:
from
to
Pay:
Reason For Leaving:
Employer 2
Company Name:
Address/City/ST/Zip:
Phone:
Supervisor:
Position:
Employment Dates:
from
to
Pay:
Reason For Leaving:
Employer 3
Company Name:
Address/City/ST/Zip:
Phone:
Supervisor:
Position:
Employment Dates:
from
to
Pay:
Reason For Leaving:
LIST HOURS AND DAYS AVAILABLE TO WORK
Sunday:
From (time)
To (time)
Monday:
From (time)
To (time)
Tuesday:
From (time)
To (time)
Wednesday:
From (time)
To (time)
Thursday:
From (time)
To (time)
Friday:
From (time)
To (time)
Saturday:
From (time)
To (time)
What location(s) are you interested in?
What position are you applying for?
Are you related to anyone employed by Charley’s Grilled Subs?
Yes		No
If yes, name the person, relationship, and location employed
Have you been employed by any Charley’s Grilled Subs or Gosh Enterprises in the past?
Yes		No
If yes, where?
Thank you for interest in employment with Charley's! We will forward this to your preferred locations (or the location nearest you, if none specified).