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Plus One Pizza Job Application
Instructions: Please enter your information. Answer all questions.
Select the Store Location
*
CAMBRIDGE
BYESVILLE
COSHOCTON
CALDWELL
Personal Information
Name
*
First
Last
Your Email
*
Confirm
Address
*
Street Address
Address Line 2
City
State
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Your Phone Number
*
###
-
###
-
####
Are older than 18 years of age?
*
Yes
No
If you are under age 18, do you have an employment work permit
Yes
No
N/A
If yes, please explain:
POSITION/AVAILABILITY:
Which position are you applying for:
*
Delivery Driver
Cook
Wait Staff/Server
Shift Leader
Managment
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any
Hours Available
*
AM
PM
Any Shft
For specific Day/Hour availability, please enter information below.
If you have any restaurant or fast food experience - list detail here
If you have any management experience list it here
How many hours per week would like to work?
What date are you available to start work?
*
MM
/
DD
/
YYYY
Have you ever been convicted of a felony?
Yes
No
If yes, explain below
Explain
Have you ever been convicted of theft or faurd?
Yes
No
If yes, explain below
Explain
Do you use illegal drugs?
*
Yes
No
Are you willing to take a drug test as a condition of employment?
*
Yes
No
How many days work did you miss in the last year?
*
None
1-2
3-4
5-6
7-10
10-20
Are you able to lift boxes weighing up to 50 pounds?
*
Yes
No
Would it be a problem for you to stay 3 hours past your scheduled sift without notice?
*
Yes
No
If yes, please explain
How many breaks do you generally require if working a shift longer then 7 hours for smoking tobacco?
*
None
1-2
3-4
5-6
EDUCATION:
Name Of High School -you Attened - Graduation Date
If you did not graduate - for the Date, list instead "did not graduate"
Name of Vocational School with Field of Study and Graduation Date
Name of College with Field of Study and Graduation Date or Number Years Attended
Skills and Qualifications: Licenses, Skills, Training, Awards
EMPLOYMENT HISTORY: List Last two Employers
Present Or Last Position:
Employer:
Address:
Supervisor:
Phone Number
###
-
###
-
####
Employer Email
Your Position Title at this Job:
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Responsibilities:
Salary
Input hourly wage, if not salaried.
Average Hours
Per Week
that you were working in the last month at this job
How did your employment end?
Quit with more than a weeks notice
Quint with no notice
Terminated or Fired
Laid Off due to Lack of work
Reason for Leaving:
Previous Position # 2
Employer:
Address:
Supervisor:
Phone Number
###
-
###
-
####
Email
Position Title:
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Responsibilities:
Salary
Input hourly wage, if not salaried.
Average Hours Per Week you were working in the last month at this job
How did your employment end?
Quit with more than a weeks notice
Quint with no notice
Terminated or Fired
Laid Off due to Lack of work
Reason for Leaving:
May We Contact Your Present Employer?
*
Yes
No
Not currently employeed
Other Jobs you have worked at in the past
You can list all other place you have worked in the past below.
List Other Previous Job
Dates you work at this Job
List Other Previous Job
List Other Previous Job
Dates you work at this Job
List Other Previous Job
Dates you work at this Job
References
References:
Name/Title Address Phone
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions?
*
Yes, I agree.
Initial
*
Date
*
MM
/
DD
/
YYYY
Once you submit this application it will be kept on file for 90 days. If you do not get a call for an interview within 90 days then your application will be discarded. You may wish to submit a application every 90 days so we have a current application for you on file.
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