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APPLICATION FOR EMPLOYMENT

Don’t want to apply online? Download our printable application, fill it out completely and bring into our store during normal business hours.

Full Name Phone Your email Address State Position applying for

Drivers License

Fill out only if applying as Delivery Driver

Insurance Company

Fill out only if applying as Delivery Driver

Policy Number

Fill out only if applying as Delivery Driver

EMPLOYMENT HISTORY

Please start with your most recent/present employer

CURRENT/MOST RECENT EMPLOYER NO. 1

Employer name Title/Position Supervisor's Name Supervisor's Phone Employed from Employed to Hourly wage (starting) Hourly wage (ending) Reasons for leaving

PREVIOUS EMPLOYER NO. 2

Employer name Title/Position Supervisor's Name Supervisor's Phone Employed from Employed to Hourly wage (starting) Hourly wage (ending) Reasons for leaving

PREVIOUS EMPLOYER NO. 3

Employer name Title/Position Supervisor's Name Supervisor's Phone Employed from Employed to Hourly wage (starting) Hourly wage (ending) Reasons for leaving

REFERENCES

Whether you have been previously employed or not, please list personal references

REFERENCE NO. 1

Name Business/Organization Name Business/Organization Name Phone Relationship/Association

REFERENCE NO. 2

Name Business/Organization Name Business/Organization Name Phone Relationship/Association

REFERENCE NO. 3

Name Business/Organization Name Business/Organization Name Phone Relationship/Association

Check evenings you are available to work MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Hours of operation range from 3pm to 12am

Is there any other information you think that Lake Harriet Pizza should know about you?

IF HIRED YOU WILL NEED TO COMPLETE AN I9 FORM

For information on documents required, please visit:USCIS.GOV

PLEASE READ: By electronically signing this document I am agreeing that all information included is true and complete. I understand that any false or misleading information could lead to dismissal or disqualification from further consideration. I authorize any person, school or employer mentioned in this application to provide Lake Harriet Pizza with any information requested. This application does not create a contract of employment. If hired, I am obliged to comply with all Lake Harriet Pizza policies. This application does not alter the at-will employment status.

I have read and fully agree to the the above. I have read and agree Signed

Enter your full name as your electronic signature

Date

Please enter today's date

APPLY ONLINE

APPLICATION FOR EMPLOYMENT

EMPLOYMENT HISTORY

CURRENT/MOST RECENT EMPLOYER NO. 1

PREVIOUS EMPLOYER NO. 2

PREVIOUS EMPLOYER NO. 3

REFERENCES

REFERENCE NO. 1

REFERENCE NO. 2

REFERENCE NO. 3

IF HIRED YOU WILL NEED TO COMPLETE AN I9 FORM

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