Employment Application
PERSONAL
INFORMATION
Date:
Full Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Date of Birth:
Are you 18 years old:
Yes
No
IN CASE
OF EMERGENCY NOTIFY
Name:
Relationship:
Address:
City:
State:
Zip:
Phone:
EMPLOYMENT
INFORMATION
Location Applying For:
Position Desired:
Salary Desired:
Is there anything that would
prevent you from performing this job?
Yes
No
Is there anything you would
need to accomodate you to perform this job?
Yes
No
What days and hours can
you work?
Number of hours you wish to
work per week?
ALL EMPLOYEES
MUST WORK AT LEAST ONE WEEKEND NIGHT
OCCASIONALLY, WE ADMINISTER
RANDOM DRUG TESTING PRIOR TO AND DURING EMPLOYMENT
Who referred you
to Pizza Pro?
Employment Agency
Acquaintance
Newspaper Ad
Walk In
College Placement Service Other
Have you ever worked
for Pizza Pro?
Yes
No
Where:
Name of Supervisor:
When:
Do you have any previous
pizza or restaurant experience?
Yes
No
Where:
When:
List 3 persons not related to you
with whom you have been acquainted for at least one year
Name:
Address:
Business:
Phone:
Name:
Address:
Business:
Phone:
Name:
Address:
Business:
Phone:
Type of Auto you own:
Year:
Make:
Model:
Drivers License Number:
State:
Expiration Date:
Auto License Number:
State:
Epiration Date:
Insurance Company:
Agents Name:
Policy Number:
Expiration Date:
Liability Limit:
Bodily Injury Limits:
DRIVING
RECORD
Have you been issued any
traffic violations in the last three years?
Yes
No
If yes, explain in detail:
RECORD
OF EMPLOYMENT
Are you presently employeed:
Yes
No
Business Name:
Supervisors Name:
Phone Number:
Starting Date:
Starting Salary:
Present Salary:
Duties:
If hired by Pizza Pro are you
planning on leaving this employment
Yes
No
GIVE PREVIOUS
EMPLOYERS (MOST RECENT FIRST)
Business Name:
Supervisors Name:
Phone Number:
Starting Date:
Starting Salary:
Ending Salary:
Ending Date:
Reason for Leaving:
May we Call:
Yes
No
Business Name:
Supervisors Name:
Phone Number:
Starting Date:
Starting Salary:
Ending Salary:
Ending Date:
Reason for Leaving:
May We Call
Yes
No
