Employment Application - Dragon Fire Pizza

Thank you for your interest in employment with Dragon Fire Pizza! It is our policy to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status. As an Equal Opportunity Employer (EOE), we will make reasonable accommodations to qualified applicants and employees under the Americans with Disabilities Act (ADA). We are also a drug-free workplace. Pursuant to applicable federal and state law, Dragon Fire Pizza reserves the right to examine and test for the presence of drugs and/or alcohol. Under the conditions of this policy, applicants may be asked to submit to a medical examination and/or submit to urine, saliva, breath and/or blood testing for drugs and/or alcohol at any time. This application will be considered active for ninety (90) days.

"*" indicates required fields

1. Applicant Information

Name*

First Name Last Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number*

Email Address*

Social Security Number

Driver's License Number / State

Dragon Fire Job

Desired Position

Salary Requirements

Referred by

Have you applied to Dragon Fire previously?

Yes

If so, when?

How do you plan to get to work?*

Do you have reliable transportation?

Yes

How long do you see yourself working for Dragon Fire?

Are you at least 18 years old?

Yes

Date of Birth

Month

Day

Year

Are you legally eligible for employment in the United States?*

Yes

Are you able to lift at least fifty pounds?*

Yes

Are you able to perform the essential functions of the job as listed in the job description with or without reasonable accommodation?*

Yes

What reasonable accommodation, if any, would you require?

Have you ever been convicted of any crime, including traffic violations?*

Yes

If yes, please explain.

**THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

Please describe any situations where you were fired or asked to resign.

3. Availability

Are you willing to work nights?*

Yes

Are you willing to work weekends?*

Yes

Are you willing to work holidays?*

Yes

If unavailable, please state reason for any limitations.

Please provide your availability below:

(ex: Sundays 12-5pm)

How many shifts in the last year have you been late for?

How many shifts in the last year have you been absent for?

If applicable, are you willing to work overtime?

Yes

What is your preferred total hours per week?

If you are offered employment, when could you start?

Do you need to give a two-week notice elsewhere?

Yes

4. Skills and Training

High School/GED Name and Address

Did you graduate?

Yes

Awards, Honors, Recognitions

College/University Name and Address

Did you graduate?

Yes

Awards, Honors, Recognitions

What degree did you earn?

On a scale of 1-5 where 1 is the worst and 5 is the best, please rank yourself:

Typing

Microsoft Office Suite (Word, Excel, etc.)

Accounting/Bookkeeping

Filing

Answering Phones

Customer Service

Management Abilities

Developing New Menu Items

Tossing Pizza Dough

Running Errands

Handling Money/Cashiering

5. Employment History

Please list your current or most recent employer first.

Employer Name

Phone Number

Address of Employment

Job Duties

Rate of Pay

Dates of Employment

Reason for Leaving

Employer Name

Phone Number

Address of Employment

Job Duties

Rate of Pay

Dates of Employment

Reason for Leaving

Employer Name

Phone Number

Address of Employment

Job Duties

Rate of Pay

Dates of Employment

Reason for Leaving

Please explain any gaps in employment.

6. References

Please list at least three people as personal or professional references that are not relatives.

Name

Address

Phone Number

Relationship

Length of time known

Name

Address

Phone Number

Relationship

Length of time known

Name

Address

Phone Number

Relationship

Length of time known

Name

Address

Phone Number

Relationship

Length of time known

Name

Address

Phone Number

Relationship

Length of time known

Certification*

I certify that 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.

I authorize Dragon Fire to contact former employers and educational organizations regarding my performance. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have that same right. Moreover, no agent, representative, or employee of Dragon Fire, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.