Fillable Little Caesars Application Form (Page 2 of 2) in pdf

ESSENTIAL JOB FUNCTIONS AND MOTIONS

9. Little Caesars employees are required to work all positions within the restaurant. This requires different essential job functions to be

completed. Performing these positions enables us to provide quality products to our customers within a short period of time.

•

Must be able to see sufficiently to maintain safety and

The ability to process and complete customer orders, including

counting money and processing credit card transactions properly.

determine product quality, service and cleanliness.

•

Must have mobility to get to multiple stations within the restaurant

The Ability to do the following:

•

Must be able to stand for long periods of time.

Lift one or both arms over head up to 100%.

•

Must be able to count, separate and weigh all types

Lift one or both arms from your sides up to 100%

•

of food products and inventory items.

Bending of one or both arms to your shoulders up to 100%

•

Must be able to withstand 90º + heat in the summer

•

Bending of the back up to a minimum of 90º to lift objects from

and below freezing in the winter.

•

the floor.

Must be able to “Shakerboard” by working outside holding a sign

•

Twisting of the back up to 90º left and right.

and shaking it.

•

Lifting up to 55 pounds.

Must be able to work with 650º oven temperatures.

•

Pushing and pulling up to 55 pounds.

Must be able to follow directions and communicate (i.e. speaking,

•

reading, hearing, writing) with customers, crew and management.

Squat or crouch to lift items from floor level.

In accordance with the Americans with Disability Act, certain accommodations may be made. Discuss any concerns or

possible accommodations you may need with your interviewer. If hired, our intent is to provide you with a safe and fulfilling work experience.

EXPERIENCE

Previous Employer

Current or Most Recent

Previous Employer

No section should be left blank

Employer

EMPLOYER

ADDRESS/ LOCATION

(Include City, State, & Zip)

from

DATES EMPLOYED

Mo. / Yr

POSITION(S) HELD

SUPERVISOR’S NAME

( _ _ _ ) _ _ _ – _ _ _ _

PHONE NUMBER

( _ _ _ ) _ _ _ – _ _ _ _

STARTING SALARY / WAGES

FINAL SALARY / WAGES

MAY WE CONTACT

Yes

CURRENT EMPLOYER?

RESPONSIBILITIES

REASON FOR LEAVING

EMPLOYER/APPLICANT STATEMENT

I represent that the above information, and any other information I may be required to provide, is complete and accurate and any misstatement or omission may result in rejection

of my application or termination of employment. I authorize Little Caesars Pizza, its franchisees and its affiliates to conduct, at its discretion an investigative consumer report con-

cerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the

investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name

and address of the reporting agency that supplies the information. I authorize my references and any state or local agency to release any information they may have regarding me to

a franchisee of Little Caesars Pizza and I release all parties from any liability for requesting and/or providing such information.

I agree that if I am hired, my employment may be terminated at any time for any reason or no reason at all or without notice by me or the franchisee of Little Caesars Pizza. I agree

that only the franchisee of Little Caesars Pizza has authority to enter into an employment arrangement other than “at-will” and it must be in writing and signed by the franchisee and

me.

If I am hired, in consideration for my employment, I agree to comply with the policies, procedures, guidelines and standards of conduct of the franchisee of Little Caesars Pizza. I

agree to keep confidential all proprietary information I learn about Little Caesars Pizza by virtue of my employment with a franchisee of Little Caesars Pizza and I shall not disclose it

or use it for my own personal gain or for the benefit of a third party.

This application was designed to comply with Title VII of the Civil Rights Act, The Age Discrimination in Employment Act, The Americans with Disabilities Act, as well as other appli-

cable federal and state Fair Employment Practice Laws. Therefore, no question answered is or will be used to discriminate on the basis of race, color, national origin, religion, age,

sex, disability, veteran status or any other characteristic protected by federal, state or local laws.

______________________________

Signature: _________________________________________________________________________________________ Date:

This application for employment is with a franchisee of Little Caesar Enterprises, Inc. as this location is independently owned and operated. As an independent owner, and pursuant to

a contractual relationship with Little Caesar Enterprises, Inc, the franchisee is solely responsible for all employment practices and decisions. To the extent that any law dictates

employment practices or requirements, it’s the franchisee’s obligation under the franchisee agreement to obey all applicable laws.

Applications are effective for 60 days, after which you must reapply. This period may be extended if you are interviewed for a management position during the 60 day period.

Little Caesars Pizza Franchise Application – June 2015 – NCV

#685645

Little Caesars Application Form Page 2

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