FOX'S PIZZA - APPLICATION FOR EMPLOYMENT
Pre-employment - An equal opportunity employer
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NAME (LAST NAME FIRST) : STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: EMAIL ADDRESS: AGE: TODAYS DATE: DESIRED EMPLOYMENT:
NAME (LAST NAME FIRST) :
STREET ADDRESS: CITY:
STATE: ZIP CODE: TELEPHONE #:
EMAIL ADDRESS:
AGE: TODAYS DATE:
DESIRED EMPLOYMENT:
Position (check one or more that you are interested in: Kitchen Staff Driver Management
Date Available to start
Hourly Salary Desired: Are you employed now? YES No
If yes where:
Current Employment Dates: May we contact you current employer? Yes No
Have you ever worked for Fox's before? Yes No If yes where?
When?
Reason for leaving Fox's or current employer:
Who referred you to this Fox's?
EDUCATION
High School: Name/location: Years attended:
Graduated: Yes No Subjects studied:
College: Name/location Years attended:
REFERENCES - Provide names of 3 persons not related to you and you have know for one (1) or more years.
Name: Address:
Telephone # Business:
Years known:
SERVICE RECORD
Branch of Service: Discharge date/rank:
FORMER EMPLOYMENT - list 3 employers, starting with the most recent.
Present employer:
Address: City:
State: Zip Code:
Start Date: End Date: Job Title:
Weekly start salary: Weekly end salary:
May we contact your supervisor? Yes No Supervisor's name:
Supervisor's phone number:
Description of work performed:
Reason for leaving:
PREVIOUS EMPLOYER:
Supervisor's name: Supervisor's phone:
Have you ever been convicted of a felony in the last 5 year? Yes No
If yes, please explain:
Do you have a valid driver's license? Yes No
AUTHORIZATION
"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 and employers listed above to give any or all information concerning my previous employment."
SIGNATURE: DATE: