Date: ________________ Location: ______________________
Employment Applicat ion
Applicant Name: _______________________________________________________________
Address: _____________________________________________________________________
City/State/Zip: _________________________________________________________________
Phone: (Home)_________________________ (Cell) _________________________
Social Security #: ______________________________________________
Postion Applied For: _________________________ Desired Wage:_____________________________
Are you over 18?: ____________ Do you have reliable transportation?: ____________
How did you here about us?: _______________________________________________________
Have you ever applied with us?(if so, when): ____________________________________________
Are you legally eligible to work in the United States?: _________ Date Available?: ____________________
Are you willing to work nights and weekends?: ________ Exceptions?:_______________________________
Are you able to perform essential functions of the job?:_____ Exceptions?: ____________________________
List of Relevant Skills: ___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Education: High School:________________________ Years attended:______________ Degree Y/N:______
College: ___________________________ Years: _________ Degree Y/N(area of study): ________________
Employment History
Employer: _______________________________ Supervisor: ____________________________________
Address:_________________________________________________ Phone: _______________________
Dates Employed:____________________________________________ Ending Wage: _______________
Job Responsibilities:_______________________________ Reason for Leaving:______________________
Employer: _______________________________ Supervisor: ____________________________________
Address:_________________________________________________ Phone: _______________________
Dates Employed:____________________________________________ Ending Wage: _______________
Job Responsibilities:_______________________________ Reason for Leaving:______________________
Employer: _______________________________ Supervisor: ____________________________________
Address:_________________________________________________ Phone: _______________________
Dates Employed:____________________________________________ Ending Wage: _______________
Job Responsibilities:_______________________________ Reason for Leaving:______________________
References(non related)
Name:_________________________ Name: __________________________
Number: ______________________ Number:_________________________
Relationship:____________________ Relationship:______________________
I authorize Gusto Pizza Co. to contact former employers, educators and references regarding my employment and education. I authorize my former employers, educators and references to fully and freely communicate regarding my previous employment, attendance, and grades.
I certify the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
Print Name:________________________________ Signature(date): _______________________________