Mobme, LLC t/a PHILLY S 1580-B Koger Center Blvd. Richmond, VA

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1 Mobme, LLC t/a PHILLY S 1580-B Koger Center Blvd. Richmond, VA Before you proceed to the Job Application and Questionnaire below, here are a few basic things, but not limited to, you should know when considering to apply at Mobme LLC, t/a Philly s: Customer service is paramount! You must act and remain courteous at all times. Philly s participates in the Hope s Hero Program and we donate 10% (or more) of the customer s purchase amount to their favorite charity, It is extremely important you fully understand and comply with the company s guidelines regarding this program. We will build our business around giving-back to the community. English is the main language and English literacy skills are required. Safety is an utmost concern and we hope to always provide a safe work environment, which means you must also abide by the rules. If you discover any un-safe situation, you will immediately notify the appropriate employee. Quality is immensely important and it shows in your work performance. The company has a dress code, which will be strictly followed or you will be asked to leave. Come to work ready and in a clean, company provided uniform and designated attire such as: o No shorts o Clean blue jeans or khakis or similar o Slip resistant shoes Flexibility is important: o You will work at various positions throughout the restaurant o You should be open to extra hours, flexibility in the work schedule and time-off o You can work at a rapid pace o Acceptance of various responsibilities You can lift items usually below 50 pounds and you can stand in one place for long periods of time (i.e. checkout counter) We are an Equal Opportunity Employer If you believe you have the skills and requirements listed above, please complete and submit the Philly s Job Application and Questionnaire below. Thank you, The Philly s Team

2 Mobme, LLC t/a PHILLY S 1580-B Koger Center Blvd. Richmond, VA Application for Employment *To best evaluate your application, please complete ALL requested information. Section 1. Personal Information: Name: First, Middle, Last Date: Present Address: Number, Street City, State, Zip How long there? Years Months Previous Address: Number, Street City, State, Zip How long there? Years Months Your Phone: Your Position Applied for: Regular Staff Kitchen Management Date you are available: Social Security Number: - - Permission to check your credit & criminal background: Yes No Have you ever been CONVICTED of a crime? Yes No Have you ever been incarcerated? Yes No

3 If yes to either, please explain number of convictions, nature of offense(s), date(s), committed where, sentence(s) imposed, type of rehabilitation: Section 2. Eligibility to Work: Are you eligible to work in the United States? Yes N0 If yes, can you prove your eligibility to work in the United States? Yes N0 If you are under the age of 18, do you have an employment or age certificate (working papers)? Yes No Section 3. Driver s License Information: Have Valid Driver s License? Yes No If yes, License # State: Expiration: License type: Regular Commercial Other a. Have you had any chargeable accidents the past 5 years? Yes N0 If yes, how many? b. Have you had any moving violations during the past 5 years? Yes N0 If yes, how many? Section 4. Education: Name High School: Graduate? Yes No Name of College: Graduate? Yes No Years Attended: - Years Attended: - Major/ Degree: Trade School: Professional: Section 5. References: Please list 3 references excluding relatives or previous employers. 1. Name: Employment: Address: Position held: Phone: 2. Name: Employment: Address: Position held: Phone:

4 3. Name: Employment: Address: Position held: Phone: Section 6. Employment History: Please list previous employers. 1. Employer Name: From/to: - Last Supervisor: Address: Position held: Phone: Pay Rate: Starting Ending: Reason(s) for leaving: List jobs you held, duties performed, skills used/required, advancements or promotions while you were employed: 2. Employer Name: From/to: - Last Supervisor: Address: Position held: Phone: Pay Rate: Starting Ending: Reason(s) for leaving: List jobs you held, duties performed, skills used/required, advancements or promotions while you were employed: 3. Employer Name: From/to: - Last Supervisor: Address: Position held: Phone: Pay Rate: Starting Ending: Reason(s) for leaving: List jobs you held, duties performed, skills used/required, advancements or promotions while you were employed: An application form sometimes makes it difficult to adequately summarize a complete employment background. Please use the space below, if necessary, to include any additional information which you believe may further describe your full qualifications.

5 Section 7. Military: a. Have you served in the United States Armed Forces? Yes No b. Are you now a member of the National Guard Yes No If yes, Specialty Date entered: Discharged: Yes No Honorable Yes No Section 8. Signature Disclaimer: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Print Name Signature Date: End of the Job Application: Submitting Instructions: 1. Scan and to jobs@getphillys.com 2. Fax to Mail to the address above ATTN: JOBS 4. Leave at Philly s Please proceed to the Job Applicant Questionnaire Attached! Note: Job Applications submitted without a completed Questionnaire will NOT be considered.

6 Job Applicant Questionnaire Mobme, LLC/ Philly s 1) Have you ever worked in the retail food industry before? YES or NO If yes, what kind of equipment have you used before? Slicer Griddle/ Charbroiler Oven Fryer. 2) Are you able to work without constant supervision? YES or NO. 3) Do you need direct/constant supervision to complete a single task? YES or NO. 4) Are you punctual? YES or NO. 5) There is a fair amount of lifting, squatting and bending-over required at Philly s. Do you have any known disabilities or physical limitations that may cause you not to be able to perform certain duties? YES or NO. If yes, please explain: 6) Have you received workman s compensation or filed a workman s compensation claim during the past 5 years? Yes or NO. If yes, what reason(s). 8) Can you communicate well with others, are you respectful of others and are you courteous to others especially in a retail workplace? YES or NO 9) Have you ever had a managerial/supervisory position in any previous job or work environment? YES or NO. If yes, explain where: 11) What time(s) can you not work for any reason? (i.e. Sunday mornings). Please explain: 12) How many hours per week do you prefer to work, check one: less than 36, 40 max, Overtime is great when offered! 13) I prefer: day evening anytime Other times: 14) Did you complete and submit this Job Application and Questionnaire? Yes or No If No, who did? I understand the answers submitted in this Questionnaire along with my Job Application, will be considered in the company s evaluation, in its sole discretion, for my potential employment. Signature: Date: Thank you for completing and submitting the Questionnaire and your Job Application. The Philly s Team

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