Mountain Mikes Employment Application

MOUNTAIN MIKE'S PIZZA - APPLICATION FOR EMPLOYMENT

An Equal Employment Opportunity Employer
Choose the location you'd like to apply to:*
PERSONAL INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*
Please enter a valid phone number.
Message Phone Number:
Please enter a valid phone number.
Work Phone Number:
Please enter a valid phone number.
May we call you at work?*

YesNo
Will you accept:*

Full-TimePart-TimeNightTemporaryOn-CallSaturdaysSundays
Position Applying For:*
What date will you be available to start employment?*

MonthDayYear
Date
How did you find out about this position?*

FriendEmployeeEDDNewspaperOther (please specify)
A CHECK MEANS "YES" FOR FOLLOWING QUESTIONS. EXPLAIN WHEN NECESSARY.*

1. Are you over 18 years of age? If no, a work permit or proof of emancipation will be required.2. Do you have a valid California driver’s license? A current motor vehicle report may be required if driving is necessary for the position for which you are applying.3. Can you provide proof after you are hired that you can legally work in the United States? If hired, you will be required to submit proof of the legal right to work in the United States.4. Can you, with or without accommodation, perform all of the essential functions of the job for which you are applying? We will consider all reasonable accommodations that may be necessary for a qualified applicant to perform the essential functions of the job.
Necessary explanation for prior responses:
EDUCATION/TRAINING

Name and location of schools (high school, college, trade, business or correspondence)*

	Name	Location	Graduate?	Subjects Studied	Degree

2. Special Training: List below any training you have had which may help to qualify you for the position for which you are applying. Include trade, vocational, military, etc. Indicate type of training, where acquired, dates and whether you completed it successfully
3. Licenses/Certificates: List any licenses or certificates you have which may help to qualify you for the position for which you are applying. Include driver’s license, typing, steno or software certificates, professional registration, etc.
4. Languages: List any experience you have which may help to qualify you for the position for which you are applying.
Employment History

List your entire work experience BEGINNING WITH YOUR PRESENT OR LAST JOB. Show promotions as separate jobs. Be sure to include appropriate military experience. If you need additional space, please supply all requested information on a separate sheet and attach to this application.
1. Employer’s Name
Your Title/Position
Phone
Worked From (month/year) - To (month/year)
example: 1/2010 - 6/2018
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor’s Name
Supervisor's Title
Choose

Full-TimePart-TimeOther
Describe Your Duties
May we contact this employer?

YesNo
Reason for Leaving
2. Employer’s Name
Your Title/Position
Phone
Worked From (month/year) - To (month/year)
example: 1/2010 - 6/2018
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor’s Name
Supervisor's Title
Choose

Full-TimePart-TimeOther
Describe Your Duties
May we contact this employer?

YesNo
Reason for Leaving
3. Employer’s Name
Your Title/Position
Phone
Worked From (month/year) - To (month/year)
example: 1/2010 - 6/2018
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor’s Name
Supervisor's Title
Choose

Full-TimePart-TimeOther
Describe Your Duties
May we contact this employer?

YesNo
Reason for Leaving
REFERENCES

PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING
I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.*
Initial Here
I understand, where permissible under applicable law, I may be subject to a pre-employment drug screening after receiving a conditional offer of employment, and must successfully pass a drug screening before being permitted to commence work with the Company.*
Initial Here
I understand, where permissible under applicable law, I may be subject to a medical examination after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with the Company.*
Initial Here
I authorize the Company and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools, and other persons named on this application to provide any information or transcripts requested.*
Initial Here
I understand employment with the Company is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.*
Initial Here
I expressly understand and agree that either the Company or I may terminate my employment relationship with the Company at any time, with or without cause or notice.*
Initial Here
I understand that no representation, whether oral or written, by any representative or agent of the Company, at any time, can constitute an implied or expressed contract of employment. I further understand no representative or agent of the Company has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit, or other terms or condition of employment other than in a document signed by the President of the company or his/her authorized representative.*
Initial Here
I certify that all of the above information is true and complete, and I understand that any falsification or material omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.*
Initial Here
MY SIGNATURE IS EVIDENCE I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.
Applicant’s signature*

Clear
Date*

MonthDayYear
Date
Applications will be maintained in accordance with applicable laws.

We consider applicants for all positions without regard to race, color, religion, national origin, age, sexual orientation, marital or veteran status, physical or mental disabilities, or any other legally protected status.

© 2018 California Employers Association. All rights reserved.
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	Name	Address	Phone	Relationship
Reference 1
Reference 2
Reference 3

MOUNTAIN MIKE'S PIZZA - APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EDUCATION/TRAINING

Employment History

REFERENCES

PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING