Pier Pizza Employment Form

Name Name * First Middle Last
Date Date * / MM / DD YYYY
Phone Phone * - ### - ### ####
Email *
Present Address Present Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Permanent Address (if different) Permanent Address (if different)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Location(s) You Are Applying for *

Location(s) You Are Applying for Wakefield North Kingstown
Position(s) You Are Applying for *

Position(s) You Are Applying for Cook Driver
Driver's License Number

If applying for
delivery position
Insurance Carrier

If applying for
delivery position
Insurance Policy Number

If applying for
delivery position
Background

Federal Law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination.
Do you have any relatives who are presently (or have formerly been) employed by Pier Pizza Company? *

Do you have any relatives who are presently (or have formerly been) employed by Pier Pizza Company? Yes No
How were you referred to Pier Pizza Company? *
Have you ever been convicted of a felony? *

Have you ever been convicted of a felony? Yes No
Any arrests? *

Any arrests? Yes No
Please explain arrest(s):
Educational History

High School
School Name
Years Completed
Degrees/Diploma
College/Other
School Name
Years Completed
Degrees/Diploma
School Name
Years Completed
Degrees/Diploma
School Name
Years Completed
Degrees/Diploma
Employment History

Please include all employment for the last five years
Company Name
Address
Dates Employed
Manager/Supervisor
Phone Number
Wage/Salary
Reason for Leaving
Company Name
Address
Dates Employed
Manager/Supervisor
Phone Number
Wage/Salary
Reason for Leaving
Company Name
Address
Dates Employed
Manager/Supervisor
Phone Number
Wage/Salary
Reason for Leaving
We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not wish us to contact and your reason for the exclusion:
References

Please do not include relatives or former employers
Name *
Years Known *
Occupation *
Telephone *
Name *
Years Known *
Occupation *
Telephone *
Name *
Years Known *
Occupation *
Telephone *
Work Availability
If your application receives favorable consideration, when will you be available to begin work? If your application receives favorable consideration, when will you be available to begin work? * / MM / DD YYYY
Do you have any objection to working overtime? *

Do you have any objection to working overtime? Yes No
Can you work overtime without prior notice? *

Can you work overtime without prior notice? Yes No
Can you work holidays? *

Can you work holidays? Yes No
Shifts Available

Shifts Available Monday 10am-5pm Monday 5pm-9pm Tuesday 10am-5pm Tuesday 5pm-9pm Wednesday 10am-5pm Wednesday 5pm-9pm Thursday 10am-5pm Thursday 5pm-9pm Friday 10am-5pm Friday 5pm-10pm Saturday 10am-5pm Saturday 5pm-10pm Sunday 10am-5pm Sunday 5pm-9pm

Check all shifts
you are available
to work
I fully understand if this Pier Pizza Company location offers me employment, I will be an employee at will. I further understand there is a 30 day trial period, at which time if I have not performed the duties as expected, my employment will not continue. *

I fully understand if this Pier Pizza Company location offers me employment, I will be an employee at will. I further understand there is a 30 day trial period, at which time if I have not performed the duties as expected, my employment will not continue. Agree
All of the above information is true to the best of my knowledge. *

All of the above information is true to the best of my knowledge. Agree

Pier Pizza Employment Form

Background

Educational History

Employment History

References

Work Availability