Today's Date
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MM
DD
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Name
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First Name
Last Name
Email
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Phone Number
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
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MM
DD
YYYY
Are you 16 years or older?
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Yes
No
Are you 18 years or older?
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Yes
No
Are you legally eligible for employment in the United States
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Have you ever been convicted of a felony? If yes, please explain.
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Date you can start:
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MM
DD
YYYY
How many hours per week are you requesting to work?
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Please check all the LUNCH shifts (can be any hours from 8am - 4pm) you are available to work. Hours may vary.
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Please check all the DINNER shifts (can be any hours from 3pm - 10pm) you are available to work. Hours may vary.
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Do you anticipate anything in the near future that would change your availability?
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If your answer was "Yes" to the question above, please specify.
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Have you ever applied or worked at Stephen's Pizzeria before?
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Yes
No
If yes, when?
Are you willing to undergo a background check as part of this hiring process?
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Do you have reliable transportation to get to work?
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Company:
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Position:
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What was your start and end date with the company?
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Supervisor:
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City and State:
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Company Phone Number
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(###)
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Reason for Leaving:
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Eligible for Re-Hire?
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Company No. 2:
Position:
Start and End date with the company?
Supervisor:
City and State:
Company Phone Number:
(###)
###
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Reason for Leaving:
Eligible for Re-Hire?
Company No. 3:
Position:
Start and End date:
Supervisor:
City and State:
Company Phone Number:
(###)
###
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Reason for Leaving:
Eligible for Re-Hire:
How did you hear about Stephen's Pizzeria?
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Why do you want to join our team?
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Who do you admire most and why?
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What do you feel is the most important character trait for someone to have and why?
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Signature
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"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice."
Please type your name below to serve as signature.
First Name
Last Name
Date of Signature
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MM
DD
YYYY
