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:
EMPLOYMENTINFORMATION
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