MAGPIE'S GOURMET PIZZA

APPLICATION FOR EMPLOYMENT

DATE:                                 SOCIAL SECURITY NUMBER:                                          

NAME:                                                                                                                                   
                                    LAST                             FIRST                             MIDDLE

PRESENT ADDRESS:
                                                                                                                                                STREET                                                                                CITY              STATE               ZIP

PERMANENT ADDRESS:
                                                                                                                                                STREET                                                                                CITY              STATE               ZIP

PHONE NUMBER:

RELATED TO ANYONE IN OUR EMPLOY?                        REFERRED BY:
IF YES, STATE NAME AND STORE LOCATION:
 
 

EMPLOYMENT DESIRED


POSITION:                                                       DATE YOU CAN START: 

   FULL TIME         PART TIME
 

SALARY DESIRED: 

ARE YOU EMPLOYED NOW? 
     IF YES, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?

DO YOU HAVE A CAR?                VALID DRIVER'S LICENSE?              AUTO INSURANCE?

CAN YOU TAKE DELIVERIES? 

REASON FOR APPLYING TO MAGPIE'S

IF APPLYING FOR A PART TIME POSITION, WHAT HOURS ARE YOU AVAILABLE?
 
 
 

EDUCATION


NAME AND LOCATION          GRADUATED?   MAJOR SUBJECTS     G.P.A.

GRAMMAR SCHOOL
 
 

HIGH SCHOOL
 
 

COLLEGE
 
 

TRADE, BUSINESS,
CORRESPONDENCE
 
 
 

FORMER EMPLOYERS


(LIST BELOW LAST FOUR EMPLOYERS. BEGIN WITH PRESENT OR MOST RECENT.)
DATES 
(MONTH/YEAR)
 		 EMPLOYER NAME & ADDRESS 

 

 EMPLOYER PHONE  POSITION 
SALARY SUPERVISOR NAME REASON FOR LEAVING
DATES 
(MONTH/YEAR)
 		 EMPLOYER NAME & ADDRESS 

 

 EMPLOYER PHONE  POSITION 
SALARY SUPERVISOR NAME REASON FOR LEAVING
DATES 
(MONTH/YEAR)
 		 EMPLOYER NAME & ADDRESS 

 

 EMPLOYER PHONE  POSITION 
SALARY SUPERVISOR NAME REASON FOR LEAVING
DATES 
(MONTH/YEAR)
 		 EMPLOYER NAME & ADDRESS 

 

 EMPLOYER PHONE  POSITION 
SALARY SUPERVISOR NAME REASON FOR LEAVING

 I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL.   FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE.

DATE                      SIGNATURE                                                                                          

DO NOT WRITE BELOW THIS LINE

INTERVIEWED BY                                                    DATE                                                   

REMARKS
 

HIRED                POSITION                                           REPORT DATE                             

SALARY/WAGES

APPROVED  1                                2                                         3                                          
                          MANAGER                  ASST MANAGER                DIRECTOR OF OPERATIONS