Employment Application Prospect Pizza
(1)
First name: _________________
Middle name:________________
Last name:__________________
Social security # ______________
Address:____________________
____________________________
city, state, zip code
Phone number:________________
Are you eligible to work in the United States?
Yes________ no_________
If you are under 18, do you have work permit?
Yes________ no_________
Have you ever been convicted of a felony?
Yes________ no________
If yes please explain:_________________________________________________________________________________________
Position/availability:
Position applied for:
Days / hours available:
Monday____________
Tuesday____________
(2)
Wednesday__________
Thursday____________
Friday______________
Saturday____________
Sunday_____________
Hours available: from______to_______
What date are you available to start ?
Education:
Name and address of school-degree/diploma-graduate date
Employment history:
Present or last position:
Employer:___________________________
Address:_____________________________
Supervisor:___________________________
Phone:_______________________________
Email:________________________________
Position title:___________________________
From:_____________To:_______________
Responsibilities:__________________________________
Salary:____________
Reason for leaving:________________________________
Employment history:
Last job:
Employer:___________________________
(3)
Address:_____________________________
Supervisor:___________________________
Phone:_______________________________
Email:________________________________
Position title:___________________________
From:_____________To:_______________
Responsibilities:__________________________________
Salary:____________
Reason for leaving:________________________________
Employment history:
Last job:
Employer:___________________________
Address:_____________________________
Supervisor:___________________________
Phone:_______________________________
Email:________________________________
Position title:___________________________
From:_____________To:_______________
Responsibilities:__________________________________
Salary:____________
Reason for leaving:________________________________
*Can we contact present or past employers?________
(4)
References:
Name, address, phone number:
1_______________________________________________
2_______________________________________________
3_______________________________________________
In a few sentences tell us a little about yourself personality, likes, dislikes etc.
I certify the information in this application is true and complete. I understand that false information may be grounds for not hiring or for immediate termination of employment at any point in the future if hired. I authorize the verification of any or all information listed above.
Signature:_____________________________
Date:___________________________