Jobs | Broadway Pizza Bar | Kissimmee FL's Finest PizzeriaBroadway Pizza Bar

Position *

Applicant Information

First Name *

Last Name *

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Do you have a reliable means of transportation to get to work?

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Describe

Are you at least 18 years old? *

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If the job you're applying for a job that requires driving:

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Expiration Date

Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status is required if hired.)

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Have you been convicted of a crime?

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If yes, state the nature of the offense and disposition of the case. Include dates and places. (NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)

Are you a veteran?

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If yes, give dates of service.

List any special skills or training.

Employment Application

List times you are NOT available to work.

Are you currently employed?

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If yes, please describe.

If applicable, please refer to the attached job description for the position for which you are applying. Are you able to perform all these tasks with or without reasonable accommodation?

YesNo

Please describe which tasks, if any, you will need accommodation to perform, and explain what type of accommodation you will need.

Education

Choose highest level achieved

ElementarySecondaryCollege

Name of School

Location of School

Degree and Major

If you're in high school, are you enrolled in a recognized co-op program?

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Work History (please begin with most recent)

Company

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Dates of Employment

Beginning Salary

Ending Salary

Job Title

Supervisor's Name and Title

Describe duties briefly:

Specific reasons for leaving:

Company

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Dates of employment

Beginning Salary

Ending Salary

Job Title

Supervisor's Name and Title

Describe duties briefly:

Specific reasons for leaving:

May we contact the employers listed above?

YesNo

If not, list the employers you do not wish us to contact and why:

Please list any personal references (with phone number):

Authorizations & At-Will Employment Agreement (please read carefully, then sign and date below). I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.

AT-WILL EMPLOYMENT AGREEMENT I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at Broadway Pizza Bar.

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