Read Microsoft Word - EMPLOYMENT APPLICATION _2_.doc text version

Employment Application

DATE: ____________________ DESIRED POSITION (Please circle one):

Cook Counter/Cashier Driver Server Busser Prep Manager Full-Time Part-Time

Days and Times Available (Please circle)

Mon. Day Night Tues. Day Night Wed. Day Night Thurs. Day Night Fri. Day Night Sat. Day Night Sun Day Night

Name: ___________________SSN#____-___-_____ Street Address/City/State/Zip: ________________________ ______________________________________________ Phone :( )__________ Are you under 18? Yes No If yes, your date of birth__________________________

Are you legally entitled to work in the United States? Yes No Have you worked at any Seasons Pizza? Yes No If you answered "Yes" to previous question when did you work and what location? ______________________________________________________________________________ How did you find out about this position? _______________________________________________________ If you were told about this position from a Seasons Pizza employee, who referred you?______________________ PRIOR WORK EXPERIENCE (Please list most recent first) 1. Employer: _________________________Address:_________________________________________ Position (duties) ___________________________________________Phone:____________________ Supervisor: _________________________________________Can we contact? Yes No Starting Pay (hourly) ______________Ending Pay (hourly) __________________ Dates Employed (month/year) ____________________to__________________ Reason for Leaving__________________________________________________________________ 2. Employer: _________________________Address:_________________________________________ Position (duties) ___________________________________________Phone:____________________ Supervisor: _________________________________________Can we contact? Yes No Starting Pay (hourly) ______________Ending Pay (hourly) __________________ Dates Employed (month/year) ____________________to__________________ Reason for Leaving__________________________________________________________________

3.

Employer: _________________________Address:_________________________________________ Position (duties) ___________________________________________Phone:____________________ Supervisor: _________________________________________Can we contact? Yes No Starting Pay (hourly) ______________Ending Pay (hourly) __________________ Dates Employed (month/year) ____________________to__________________ Reason for Leaving__________________________________________________________________ Have you ever been convicted or plead guilty to a criminal offense? Yes No If yes, please explain when, where, and facts surrounding offense_____________________________________________________________________________________________ ______________________________________________________________________________________________________

EDUCATION HIGH SCHOOL COLLEGE OR TECHNICAL

Name

Dates attended

Date Completed

PERSONAL REFERENCES (No relatives or former employees) Name 1. 2. 3. Relationship Phone

DELIVERY DRIVERS ONLY: If you are employed by Seasons Pizza as a delivery driver then you are required to provide proof of personal auto liability insurance and drivers' license. In addition, your motor vehicle report will be checked, at the time of application and periodically thereafter, to verify your driving eligibility. We will need your date of birth to run an MVR report________. You are responsible for maintaining any costs incurred on your car while employed here. Seasons Pizza will not be held responsible for any loss, theft, or, damage to your vehicle and its contents while employed. Minimum age requirement is 18. Insurance Company:___________________________________Policy Exp. Date:_________________________________ Driver's License Number:_________________________________State:____________________Date Issued___________ Have you had at least one-year driving experience? Yes No Have you been involved in a traffic accident in the last 3 years? Yes No If yes, please give details:____________________________________________________________________________ Have you received any speeding tickets or other traffic violations in the last 3 years? Yes No If yes, please explain:_______________________________________________________________________________ Has your driver's license ever been suspended or revoked? Yes No If yes, please explain:_______________________________________________________________________________ Vehicles which will be used on the job: Make Model 1. 2. Year License # State

FOR MANAGEMENT USE ONLY: MVR's must be obtained for all delivery driver applicants prior to making job offer. Date MVR requested: _________________Requested By:___________________Date Received______________________ SERVERS ONLY: In the State of Delaware the minimum age required to serve alcohol is 19. All servers applying for a position must provide management with a copy of an Alcohol and Beverage Control card. Do you have an ABC card? Yes No If you need to obtain an ABC card the State of Delaware offers weekly classes. Ask Manager for details. Seasons Pizza is an equal opportunity Employer. Any person applying for a position will be considered without regard to race, religion, sex, age, national origin, or disability. I certify that all statements made in this application are true and complete. I authorize Seasons Pizza to investigate all statements made by former employers, references, and law enforcement agencies. I further authorize Seasons Pizza to conduct whatever background checks are necessary to verify information provided by me or in interviews relating to my employment. In the event that my employment is rejected or terminated based on a report received from such a background check, I understand I will receive a full copy of such a report within 60 days and will have an opportunity to dispute the accuracy of the information included in the report. I understand that any false information made by me on this application will be sufficient for a rejection of my application, or for my immediate termination if should one discover after I am employed. I understand that nothing in this employment application is intended to create an employment contract with Seasons Pizza, and that my employment with this company is entered into voluntarily, that I may resign at any time, and that my employment may be terminated at any time without prior notice. I hereby acknowledge that I have read and understand the preceding statement. Signature:________________________________________Date:_____________________

For Management use only: Interviewed by:_____________________________ Date hired_______________________For what position?___________________________________________ If driver, was proof of insurance and driver's license given? Yes No Insurance card exp. Date_______________ If server was a copy of ABC card provided? Yes No Date card issued________________________________ Any additional comments:

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Microsoft Word - EMPLOYMENT APPLICATION _2_.doc