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

City State

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

Month Day Year
Date
Desired Employment? *

Full Time Part Time Either
Desired Hourly Wage *
Position Applying for
Are you a citizen of the United States? *

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

Yes No
Have you worked for Jimmy O's previously? *

Yes No
If yes, when?

Month Day Year
Date
Do you have a valid OLCC alcohol servers permit? *

Yes No
If yes, what is the expiration date?

Month Day Year
Date
EDUCATION
High School (1)
High School #1 Name
Address

Street Address

Street Address Line 2

City State

ZIP
Did you graduate?

Yes No
G.P.A.
High School (2)
High School #2 Name
Address

Street Address

Street Address Line 2

City State

ZIP
Did you graduate?

Yes No
G.P.A.
Grade Point Average
College/Trade School
Name of College/Trade School Attended
Address

Street Address

Street Address Line 2

City State

ZIP
G.P.A.
Grade Point Average
Did you graduate?

Yes No
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

City State

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

Street Address

Street Address Line 2

City State

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

City State

ZIP
Phone
Start Date

Month Day Year
Date
End Date

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

Yes No
Previous Employer (#2)
Business Name
Address

Street Address

Street Address Line 2

City State

ZIP
Phone
Start Date

Month Day Year
Date
End Date

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

Yes No
Previous Employer (#3)
Business Name
Address

Street Address

Street Address Line 2

City State

ZIP
Phone
Start Date

Month Day Year
Date
End Date

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

YES NO
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 *

Month Day Year
Date
Should be Empty:

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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