Avalanche Pizza & the Slice House PDF Job Application

General Information

Date*:

Name*:

Phone Number*:

Email:

Address:

Street:

City:

State:

Zip:

What is your age? (No one under 16 may be hired.) 15 or younger16 or 1718 or older

Have you ever been counseled or disciplined for cash handling violations? YesNo

Have you ever been counseled or disciplined for being late or absent from work or school? YesNo

Are you legally eligible to work in the U.S.? (Proof of citizenship required, if hired.) YesNo

Have you ever been in the Armed Forces? YesNo

Have you been honorably discharged? YesNo

How did you find out about our job openings?

Employment Desired

Position applied for:

Salary desired:

Date you can start:

Are you available to work overtime? YesNo

Can you work during the summer break? YesNo

Days/Hours available to work:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

No preference:

What is your means of transportation to work?

Do you have a driver’s license? YesNo

Driver’s License Number:

State of Issue:

Expiration Date:

Insurance Carrier:

Policy Number:

Have you been in any accidents in the past 3 years? YesNo

How many?

Have you had any moving violations in the past 3 years? YesNo

How many?

Education

High School:

Name:

City:

State:

Subject:

College or Trade School:

Name:

City:

State:

Subject:

Work Record

Use the + button below to add as many entries as you would like.

Name:

Phone:

Address:

Position:

Pay Rate:

Duties:

Start Date:

End Date:

Reason for leaving:

Supervisor's Name:

May we contact them? YesNo

Additional Information

Do you have any physical ailments that prevent you from lifting up to 50 pounds safely? YesNo

Have you ever plead guilty to or been convicted of a felony? (A "Yes" answer will not automatically disqualify the applicant.) YesNo

Convictions

Use the + button below to add as many entries as needed.

Date:

City:

County:

State:

Offense:

Sentence:

Are you currently serving any such sentence? YesNo

If yes, please explain:

Are you currently on probation or parole for any such sentence? YesNo

If yes, please explain:

Please list the top four qualities you posses that will help Avalanche Pizza achieve new levels of success:

Quality 1:

Quality 2:

Quality 3:

Quality 4:

Declaration and Agreement

The facts set forth in my application for employment are true and complete. I understand that, if employed, any false statement on the application may result in my immediate dismissal. I further understand that this application is not and is not intended in any way to be a contract of employment, nor does this application obligate Avalanche Pizza or myself, in any way. Furthermore, I understand that if I am hired, my employment can be terminated with or without cause at any time, at the discretion of either the company or myself.

I hereby give my permission to contact the previous employers and character references that I have listed except for the particular employer(s) noted.

I agree to the above terms.

Signature (Full Name)*:

Date*:

We will contact you shortly for your Social Security Number and follow-up.

You!

You!

You can find our Online Application HERE… as a PDF file.

General Information

Address:

Employment Desired

Days/Hours available to work:

Education

High School:

College or Trade School:

Work Record

Additional Information

Convictions

Declaration and Agreement