"Home of the Mad Dog"

 

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:___________________________