Job Application

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you at least 18 years old? *

Yes

No

Which position are you interested in? Check all that apply. *

Cook

Prep

Pizza Maker

Waitstaff

Busser

Bartender

Delivery Driver

Phone

Dishwasher

If hired, when can you start? *

MM

DD

YYYY

If hired, how long do you plan on working with us? *

More than 1 year

6 months to 1 year

Less than 6 months

How many hours per week are you interested in working? *

More than 30

20 to 30

Less than 20

Do you have reliable transportation for delivery? *

Yes

No

I am not willing to deliver

Do you have auto insurance? *

Yes

No

I am not willing to deliver

Do you have an Illinois drivers license?

Yes

No

I am not willing to deliver

How often are you willing to work delivery? *

1 shift per week

1 to 2 shifts per week

2 to 3 shifts per week

Full time

I am not willing to deliver

Monday Availability *

Open

Not available

Tuesday Availability *

Open

Not available

Wednesday Availability *

Open

Not available

Thursday Availability *

Open

Not available

Friday Availability *

Open

Not available

Saturday Availability *

Open

Not available

Sunday Availability *

Open

Not available

Are you currently employed? *

Yes

No

If hired, will you continue that employment? *

Yes

No

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Reason for leaving

Laid off

Quit or resigned

Terminated

Still employed

Supervisor's Name

First Name

Last Name

Supervisor's Phone

(###)

###

####

May we contact them?

Yes

No