ThriftyNick's Pizza

Employment Application

Name and Address

Date of Birth:

Job Type

When are you available to work?

I have no preference

Monday

between and

Tuesday

between and

Wednesday

between and

Thursday

between and

Friday

between and

Saturday

between and

Sunday

between and

I'm seeking a:

Full-time position

Part-time position

Full or Part-time position

How many hours can you work weekly? Date available to begin:

Additional Information

Have you worked here before?

Yes No

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.

Yes No

Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?

Yes No

Do you have a driver's license?

Yes No

Issued in what state?

Have you had any accidents during the past three years?

Yes No

How many?

Have you had any moving violations during the past three years?

Yes No

How many?

Education

High School

Start date: End date:

Did you graduate from this school?

Yes No

College or Business/Trade School

Start date: End date:

Degree Level:

Did you graduate from this school?

Yes No

Military

Have you ever served in the Armed Forces?
Yes No Currently serving

Service type: Branch:

Job Specialty: Date entered:
Date discharged: Current rank: Rank at discharge: Discharge type:

Employment History

List most recent employers first. Previous three is enough, unless you wish to list more.

Start date: End date:

Starting salary: Final salary:

May we contact this employer?

Yes No

References

Do not use relatives or former employers.

I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated.

Yes No