Pizza Hut Employment Application
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1EMPLOYMENT APPLICATION
For PDE Use Only
EMPLOYEE #
TO BE COMPLETED BY APPLICANT
Pizza Hut, Inc. or a Subsidiary or Franchise
PLEASE PRINT CLEARLY
An Equal Opportunity Employer
PERSONAL INFORMATION
LAST NAME
FIRST NAME
MI
SOC. SEC. NO.
DESIRED POSITION(S)
Last Name
First Name
MI
Social Security #
Postion
STREET ADDRESS
BOX/APT.
HOME PHONE
CITY
STATE
ZIP CODE
11111
Address
Box/Apt
(806) 111-1111
City
ST
Are You Under 21 years of age?
Yes
No
If “Yes” list date of birth: MO.
Day
Yr.
Have you ever been convicted of a felony? Yes
No
Have you ever been employed by Pizza Hut, Inc. or a Subsidiary or Franchise?
Yes
No
Employment Desired:
Full Time
Part Time
Name of Supervisor:
Location:
HOURS AVAILABLE
If “Yes,” please complete the following: Date of Employment From:
To:
M
T
W
T
F
S
S
Name at time worked:
Date of termination:
Reason for termination:
I left Pizza Hut in good standing and have never been terminated from Pizza Hut or its Subsidiaries
FROM
involuntarily:
Yes
No
Falsification of this information will result in immediate termination.
Do you have any relatives working for Pizza Hut, Inc . or a Subsidiary or Franchise?
Yes
No
If “Yes,” give name, relationship, department/location:
TO
EDUCATION
(Name and address of school)
Major
No. of Years Attended Did you graduate?
Degree
Graduate School :
College:
High School:
Other:
EMPLOYMENT
(List most recent job first)
Company
Address
Name of Supervisor
Most Recent Employer
Your Supervisor's Name
Their Address
Job Title / Duties Performed
Phone No. (Area Code)
From:
To:
(
)
Day
Mo.
Yr.
Day
Mo.
Yr.
Job Title/Duties
AC
Phone Number
Starting Pay $
Ending Pay $
Reason for Leaving
Why did you leave?
Company
Address
Name of Supervisor
Job Title / Duties Performed
Phone No. (Area Code)
From:
To:
(
)
Day
Mo.
Yr.
Day
Mo.
Yr.
Starting Pay $
Ending Pay $
Reason for Leaving
Why did you leave?
PERSONAL REFERENCES
(Not former employers or relatives)
Name
Relationship or Title
Phone No.
Personal Reference
(Area Code) (
)
Relationship or Title
Name
Relationship or Title
Phone No.
Personal Reference
(Area Code) (
)
Relationship or Title
SIGNATURE
I certify that the above information is correct and understand falsification is grounds for dismissal. I authorize the references, supervisors, and educational institutions listed above to give you any information, personal or
otherwise, concerning my prior employment or education. I authorize you to conduct a criminal conviction and credit check on me, and I release all parties from any liability resulting from furnishing this information to you. I
understand and agree that Pizza Hut’s employment policies, manuals, and handbooks are not express or implied contracts and that these documents and the wages, benefits, and other terms and conditions of
employment may be changed at Pizza Hut’s discretion from time to time without notice to me. I understand and ag ree that my employment with Pizza Hut may be terminated by me or Pizza Hut at any time for any reason
without prior notice to the other party and that no written or oral Pizza Hut policy concerning continued employment constitutes or is intended to constitute an express or implied contract. I further understand and agree
that, except for this application, there are not and will not in the future be an express or implied contractual terms of employment between Pizza Hut and me.
SIGNATURE
DATE
HPPI
FORM 2
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