Menifee Pizza Factory Job Application

Date of Application:*

MonthDayYear

Full Name*

First NameMiddle NameLast Name

Social Security Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Telephone/Day*

Area CodePhone Number

Telephone/Evening

Area CodePhone Number

Cell Phone

Area CodePhone Number

Are you 18 or older?*

YesNo

If under 18, what is your age?

If under 18 and it is required, can you furnish a work permit?

YesNo

Are you legally able to be employed in the U.S.?*

YesNo

(Proof of identity and legal authority to work
in the U.S. is a condition of employment.)

How did you hear of job?*

Do you have transportation to work?*

YesNo

Have you ever worked for Pizza Factory Before?*

YesNo

If yes, dates and location(s)

Position Applying for:*

EmployeeDriver

Total hours available per week*

Available Hours*

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
From
To

School Name*

Location*

Phone Number

Area CodePhone Number

Graduated?*

YesNo

Now Enrolled?*

YesNo

Last Grade Completed*

Grade Point Average

Sports or Activities

Company (1)*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Position Held*

Supervisor*

Salary*

Reason for Leaving*

Dates Worked From*

MonthDayYear

To*

MonthDayYear

Company (2)*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Position Held*

Supervisor*

Salary*

Reason for Leaving*

Dates Worked From*

MonthDayYear

To*

MonthDayYear

During the past 10 years have you ever been convicted of a crime excluding misdemeanors and traffic violations?*

YesNo

If yes, describe in full

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from Pizza Factory’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the end of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

It is my understanding that PIZZA FACTORY is an at-will employer and by understanding this it has been explained to me that if I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the Pizza Factory owner.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

IF HIRED, FEDERAL LAW REQUIRES THAT YOU FURNISH DOCUMENTATION SHOWING YOUR
IDENTITY AND THAT YOU ARE LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES.

U.S. law requires that, if hired, you must furnish your social security card and one of the following
documents within 72 hours of starting work:
• A card issued by Federal, State or local government showing your identity
• Driver’s license or state issued I.D. card with photo
• School I.D. with photo
• Current INS Forms with employment authorization stamp
• U.S. Passport
• Voter’s registration card
• U.S. military card or other draft card

If you do not have a social security card, you may present an original or copy of a U.S. birth certificate, or Department of State Forms FS-545 or DS-1350 or INS Forms I-327, I-571, I-197, I-179

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.*

Yes

Signature*

First NameLast Name

Date*

MonthDayYear

Enter the message as it's shown*

Application for Employment

Availability

School Most Recently Attended

Two Most Recent Jobs

Convictions

Applicant Statement

Signature