LAST NAME______________________________________FIRST NAME __________________________________MI______________

ARE YOU OVER 18 YEARS ?___________DOB___________________________SSN________________________________________

ADRRESS ______________________________________________________________________________________________________

CITY ____________________________________________STATE _______________ZIP CODE ________________________________

HOME PHONE____________________________________CELL PHONE___________________________________________________

E-MAIL ___________________________________________________________ DO YOU SMOKE CIGARETTS? _____YES _____NO

IN CASE OF EMERGENCY NOTIFY:

NAME___________________________________________RELATIONSHIP__________________PHONE _______________________

POSITION DESIRED ______________________________________ SALARY DESIRED ___________________________________

DATE YOU CAN START ___________________________ ARE YOU CURENTLY EMPLOYED_____________YES ___________NO

PART TIME ___________FULL TIME __________ARE YOU AVAILABLE ON WEEKENDS & LATE NIGHTS________________

Circle the days you wish to work Mon Tue Wed Thu Fri Sat Sun

DO YOU HAVE ANY PREVIOUS PIZZA EXPERIENCE? ______________________YES_________________NO_________________

WHERE?_______________________________________ ___ WHEN?_________________________________________________

JOB TITLE _______________________________________REASON FOR LEAVING_________________________________________

DESCRIPTION OF WORK _________________________________________________________________________________________

DATE OF YOUR LAST DRUG TEST if Any? ________________________

DO YOU HAVE A FOOD HANDLE’S PERMIT? _____________________ If Yes EXP. DATE: _______________________________

WHO REFERRED YOU TO GOOD GUYS PIZZA? __________________________________________________________________

VEHICLE INFORMATION – DRIVERS ONLY

YEAR________________________________MAKE_______________________________MODEL_______________________________

INSURANCE COMPANY____________________________________________________ PHONE_________________________________

YOUR POLICY NUMBER_________________________________________________________________________________________

HOW MUCH LIABILITY__________________________ EXPARATION DATE____________________________________________

DRIVER’S LICENCE #_____________________________ EXPARATION DATE____________________________________________

NUMBER OF TRAFIC TICKETS_____________________ NUMBER OF ACCIDENTS____________________________ (last 6 years)

SIGNATURE: _______________________________________________________________DATE:______________________________

PLEASE, ATTACH COPIES OF YOUR  DRIVER’S LICENCE OR ID  SSN CARD  FOOD HANDLER’S PERMIT CARD

 CAR INSURANCE CARD   GREEN CARD OR WORK AUTHORIZATION (For Aliens Only)