Application For Employment Form


Romeo’s Pizza - Application for Employment
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.
Position(s) applied for _________________________________________________ Date _____/_____/_____________
How did you find out about this job?
Why are you seeking a new job at this time? ____________________________________________________________
Applicant Information
First Name______________________ Middle _________________________ Last_______________________________
Street Address__________________________________Social Security No. __________________________________
City/State/Zip_________________________________________________ Phone (____)_________________________
If hired, do you have a reliable means of transportation to get to work? _________ Describe _________________
Are you at least 18 years old?_______ If you are under 18 years of age, can you furnish a work permit? _________
If the job you are applying for requires driving: Driver’s License No.__________ State _____ Expiration Date ______
Are you legally eligible for employment in the U.S.?____ (Proof of U.S. citizenship or immigration status is required
if hired.)
Have you been convicted of a crime? (Massachusetts applicants should not include misdemeanor convictions;
California applicants should not include marijuana-related convictions that occurred more than 2 years prior to the
application date.)
No 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? _____________ If yes, give dates of service: From ________________ To ___________________
List any special skills or training: _____________________________________________________________________
Employment Information
Are you seeking full time, part time or temporary employment? ____________________________________________
What hours and shift(s) would you prefer to work? _______________________________________________________
List times you are not available to work? _______________________________________________________________
Are you willing to work overtime? ______ Weekends? ______ Holidays? ______
Are you currently employed? ______ If hired, when would you be able to start? ______________________________
Have you ever worked for this organization before? ______ If yes, name used: _______________________________
List any friends or relatives employed by this company: __________________________________________________
Have you ever been discharged or asked to resign from any position? ______ 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? ____ Please describe which tasks, if
any, you will need accommodation to perform, and explain what type of accommodation you will need:
Please describe: ___________________________________________________________________________________


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