Employment Application In compliance with Federal and State equal employment opportunity laws, it is the company's intention to consider all applicants without regard to race, color, religion, sex, national origin, age, marital status, disability, the presence of non-job related medical condition or any other protected classification. Tell Us About Yourself Name Primary Phone Address Position Are You Authorized To Work In The U.S? Date Able To Start Pay Expected If you are under the age of 22, and applying for a position that requires you to serve alcohol, please state your date of birth: How Many Hours Per Week Are You Interested In Working? Please Check in boxes the days you can or want to work for lunch. MondayTuesdayWednesdayThursdayFridaySaturdaySunday Please Check in boxes the days you can or want to work for dinner. MondayTuesdayWednesdayThursdayFridaySaturdaySunday Your Education High School Attended Did you graduate? College Attended Number of years completed Major/Minor Did you graduate? Do you have a criminal record? Conviction of a crime, or pleading guilty or no contest to a criminal charge, will not necessarily disqualify you from the job for which you are applying. Each conviction or plea will be considered with respect tom time, job relatedness, and other relevant factors. Have you been convicted of, plead guilty to, or plead no contest to a felony within the last five (5) years? If yes, please explain: Have you been convicted of plead guilty to, or plead no contest to an act of dishonesty or breach trust (such as misdemeanor, petty theft, burglary, fraud, writing bad checks, and/or other related crimes within the last five (5) years? If yes, please explain: Employment Experience Have you previously worked for Picasso's? 1. Name of companyDates of employment Job titlePhone Name of SupervisorReasons for leaving 2. Name of companyDates of employment Job titlePhone Name of SupervisorReasons for leaving 3. Name of companyDates of employment Job titlePhone Name of SupervisorReasons for leaving Personal References NameRelationshipPhone # NameRelationshipPhone # PLEASE READ THE FOLLOWING CAREFULLY I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsification statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they have, personal or otherwise, and release the company from all liability for any damages that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Agree ** Thank your for applying at Picasso's Pizza & Grill! You will be contacted by a manager if we are interested in scheduling an interview**
