Pepperoni's Application for Employment

Full Name*

First NameMiddle NameLast Name

Maiden Name(s) or Aliases

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Social Security Number*

Email Address*

Home Phone

Area CodePhone Number

Cell Phone*

Area CodePhone Number

Available to start*

MonthDayYear

Which location would you like to be considered at?*

BLACK MOUNTAINMARION

Upload Resume (optional)

Upload a File

Are you eligible to work in the United States?*

YesNo

Are you 18 years of age or older?*

YesNo

If NOT over 18, what is your current age?

If required for position, do you have a valid driver’s license?

YesNoN/A

If YES, State of issuance, license #, and expiration date:

How did you learn about this employment opportunity at Pepperoni's? Check all that apply.

High School Education

Name of School

City, State

Did you graduate?

YesNoStill enrolled

Date of graduation

College Education

Name of School

Degree

Did you graduate?

YesNoStill enrolled

Date of graduation

Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying.

SKILLS: Please list any food service skills, customer service skills, or other trade skills relevant to this position.

WORK EXPERIENCE: Please detail your entire work history. Begin with your current or most recent employer. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation “See Resume.”

PLEASE NOTE: Pepperonis reserves the right to contact all current and former employers for reference information.

Employer #1 name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Start Date

MonthDayYear

End Date

MonthDayYear

Position title

Hours per week

Salary

Supervisor’s Name, Title and Phone #

Job description / duties

Reason for leaving

Employer #2 name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Start Date

MonthDayYear

End Date

MonthDayYear

Position Title

Hours per week

Salary

Supervisor’s Name, Title and Phone #

Job description / duties

Reason for leaving

Employer #3 name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Start Date

MonthDayYear

End Date

MonthDayYear

Position Title

Hours per Week

Salary

Supervisor’s Name, Title and Phone #

Job Description / Duties

Reason for leaving

Please list all available days & times you can work

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that any misrepresentation or omission of facts represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Pepperoni's to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Pepperoni's serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off.

Electronic signature (please type your initials)