Gondolier Pizza - Employment

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Location to which you are applying: *

Position Applied For *

Phone *

Social Security Number *

Name *

Address *

Are you legally eligible for employment in the U.S.A.? *

I am seeking a permanent position. *

Are you available to work overtime? *

If necessary for the job, are you over the age of *

If hired, when are you available to start work? *

Education:

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Have you performed any military service? *

List two personal references who are not relatives or former supervisors:

Reference #1

Name

Address

Telephone

Occupation

Years known

Reference #2

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Address

Telephone

Occupation

Years known

Employment: List last employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary (following this section).

Employer #1

Employer Name and Address

Position Title/Duties Skills

Supervisor's Name

Telephone

Dates Employed

from

Employer #2

Employer Name and Address

Position Title/Duties Skills

Supervisor's Name

Telephone

Dates Employed

from

Employer #3

Employer Name and Address

Position Title/ Duties Skills

Telephone

Supervisor's Name

Dates Employed

from

Optionally, you may also upload a résumé below

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Summarize other employment related to this job:

Types of computers, other electronic or mechanical equipment that you are qualified to operate or repair:

How many words can you type per minute?

Professional Licenses, Certifications or Registrations

Additional skills including supervision skills, other languages, or information regarding the career/occupation you wish to bring to the employer's attention:

Information to the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.

If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.

I understand and agree to the information shown above (type your full name to digitally sign this form): *

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask you your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

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