Employment Application

Employment Application

Provide your information completely and accurately.
Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Apt #

CityState / Province

Postal / Zip Code
Borough or Township*
Ex: Cranberry Township
County*

ButlerBeaverAlleghenyOther
School District in which you currently live*
If you have not lived at your current address for the past 3 years, please list all former addresses for the past 3 years

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Social MediaWalk-inCurrent or Former EmployeeOther
Positions in which you are applying for*

Kitchen - Part-timeKitchen - Full-timeAssistant ManagerGeneral ManagerDelivery Driver
If applying to be a delivery driver, do you have a valid drivers license?

YesNoNot applying to be a delivery drive
References

Please list two (2) references that are familiar with your work life that have no familial relation to you
Reference
Reference
Available Start Date*

MonthDayYear
Date
Are You Presently Employed*

Yes, you may contact my current employer (please fill out next section)Yes, please don't contact my current employerNo
Current Employer Company Name
Address of Current Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Employer Manager Name and Phone Number
Previous Employers

Please list your 2 most recent previous employers, aside from your current employer
Previous Employer 1 Company Name
Previous Employer 1 Supervisor Name
Previous Employer 1 Phone Number
Previous Employer 1 Start and End Date of Employment
Previous Employer 1 Starting and Ending Wage
Previous Employer 2 Company Name
Previous Employer 2 Supervisor Name
Previous Employer 2 Phone Number
Previous Employer 2 Start and End Date of Employment
Previous Employer 2 Starting and Ending Wage
Have you ever been fired or asked to resign? *
If you answered yes to the question above, please give a brief description below
Have you ever been convicted of a felony? *
If you answered yes to the question above, please give a brief description below
Have you ever worked or attended school under any other name? If yes, please list below*
If hired, can you furnish proof that you are eligible to work in the U.S?*

YesNo
Do you have a valid drivers license?*

YesNo
Do you have a high school diploma, GED, or College degree? Check all that apply*

High School DiplomaGEDTrade School or Associates DegreeBachelor DegreeMasters DegreeCurrent High School StudentCurrent College or Higher Education StudentNone of the aboveOther
High School Attending/Attended*
Approximate Graduation Date or Expected Graduation Date*

MonthDayYear
Date
College Attending/Attended
Approximate Graduation Date or Expected Graduation Date

MonthDayYear
Date
List any additional skills or experience that may qualify you for this position*
Please list any activities or commitments that you have throughout the year that may interfere with your work schedule and approximate dates and times of interference. Be specific with days of the week, times, and any specific dates.*
Please note, this does not necessarily disqualify you from the position
Why do you want to become a team member of Pizza IQ? *
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.*

YesNo
I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without cause and with or without notice.*

YesNo
Resume and Files

Upload a File
If applying for a management position, a resume is recommended Cancelof
Pizza IQ is an equal opportunity employer
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Employment Application

Previous Employers

Pizza IQ is an equal opportunity employer