To: info@primantibros.com, maureen@primantibros.com, ashley@primantibros.com Subject: PBros. Application for Employment Employment Desired Position applying for: [PositionApplyingFor] Date available to start: [DateCanStart] Salary Desired: [SalaryDesired] Currently employed: [CurrentlyEmployed] May we contact: [EmployedCanWeContact] Applied at Primanti's before: [AppliedToPrimantiBrothersBefore] Where and When: [AppliedBeforeWhereWhen] Desired Primanti Brothers Location: [location2workat] ------------------------------------------------- Personal Information Sender's Email: [emailaddress] Name: [LastFirstMI] SSN: [SSN] Address: [Address] City: [City] State: [State] Zip: [Zip] Phone#: [Phone#] Referred by: [ReferredBy] ------------------------------------------------- Education History School Name/ Location - Years Attended - Graduated - Subjects Studied Grammar: [GrammarNameLocation] - [GrammarYears] - [GrammarGraduate] - [GrammarStudied] High: [HighNameLocation] - [HighYears] - [HighGraduate] - [HighStudied] College: [CollegeNameLocation] - [CollegeYears] - [CollegeGraduate] - [CollegeStudied] Trade/Business: [TradeNameLocation] - [TradeYears] - [TradeGraduate] - [TradeStudied] ------------------------------------------------- General Information Special training skills: [SpecialSkills] Miltary/Naval: [Miltary/Naval] Rank: [MilitaryRank] ------------------------------------------------- Former Employers Dates Employed Name/Addrress Salary Position Reason forLeaving 1: [EmployedFrom1] - [EmployedTo1] [EmployerNameAddress1] [salary1] [Position1] [ReasonLeaving1] 2: [EmployedFrom2] - [EmployedTo2] [EmployerNameAddress2] [salary2] [Position2] [ReasonLeaving1] 3: [EmployedFrom3] - [EmployedTo3] [EmployerNameAddress3] [salary3] [Position3] [ReasonLeaving3] ------------------------------------------------- References Name Phone Number Business Years Known 1: [ReferencesName1] [ReferencesAddress1] [ReferencesBusiness1] [ReferencesYearsKnown1] 2: [ReferencesName2] [ReferencesAddress2] [ReferencesBusiness2] [ReferencesYearsKnown2] 3: [ReferencesName3] [ReferencesAddress3] [ReferencesBusiness3] [ReferencesYearsKnown3] ------------------------------------------------- Authorization Date: [AuthorizeDate] Digital Signature: [AuthorizeDigitalSignature]