Jimmy O's Pizzeria- Employment Application

JIMMY O'S PIZZERIA

Employment Application
APPLICANT INFORMATION
First*
Last Name*
M.I.
Phone*
Home Address*

Street Address

Street Address Line 2

CityState

ZIP
Email*
example@example.com
Confirm Email*
example@example.com
Date Available*

MonthDayYear
Date
Desired Employment?*

Full TimePart TimeEither
Desired Hourly Wage*
Position Applying for
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?

YesNo
Have you worked for Jimmy O's previously?*

YesNo
If yes, when?

MonthDayYear
Date
Do you have a valid OLCC alcohol servers permit?*

YesNo
If yes, what is the expiration date?

MonthDayYear
Date
EDUCATION
High School (1)
High School #1 Name
Address

Street Address Line 2

CityState

ZIP
Did you graduate?

YesNo
High School (2)
High School #2 Name
Address

Street Address Line 2

CityState

ZIP
Did you graduate?

YesNo
College/Trade School
Name of College/Trade School Attended
Address

Street Address Line 2

CityState

ZIP
Did you graduate?

YesNo
Degree In:
If completed, what is your degree in?
PERSONAL REFERENCES

Please list 2 personal references
Personal Reference #1
Full Name
Address

Street Address

Street Address Line 2

CityState

ZIP
Phone
Email
example@example.com
Relationship
Occupation
Personal Reference #2
Full Name
Address

Street Address

Street Address Line 2

CityState

ZIP
Phone
Email
example@example.com
Relationship
Occupation
PREVIOUS EMPLOYMENT (most recent first)
Previous Employer (#1)
Business Name
Address

Street Address

Street Address Line 2

CityState

ZIP
Phone
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Supervisor
Job Duties
Starting Hourly Wage
Ending Hourly Wage
Reason(s) for Leaving?
May we contact this employer for a reference?

YesNo
Previous Employer (#2)
Business Name
Address

Street Address

Street Address Line 2

CityState

ZIP
Phone
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Supervisor
Job Duties
Starting Hourly Wage
Ending Hourly Wage
Job Duites
May we contact this employer for a reference?

YesNo
Previous Employer (#3)
Business Name
Address

Street Address

Street Address Line 2

CityState

ZIP
Phone
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Supervisor
Job Duties
Starting Hourly Wage
Ending Hourly Wage
May we contact this previous employer for a reference?

YESNO
MILITARY SERVICE
Branch
From
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

JIMMY O'S PIZZERIA

APPLICANT INFORMATION

EDUCATION

PERSONAL REFERENCES

Personal Reference #1

Personal Reference #2

PREVIOUS EMPLOYMENT (most recent first)

MILITARY SERVICE

DISCLAIMER AND SIGNATURE