EMPLOYMENT – Tremont House of Pizza

You Name*

First Last

Address*

Street Address City State ZIP Code

Phone number*

Email address

Are you at least 18 years old?*

What date are you available to start?*

MM slash DD slash YYYY

What is your minimum wage requirement?*

What position are you applying for?*

Availability:*

If you are hired, what days and times of day are you NOT available? *We are closed on Sundays*

Are you capable of lifting 25lbs or less?*

Are you able to stand for 2-3 hours at a time?*

This position may require that you are on your feet for extended periods of time.

List your 3 Strengths and 3 Weaknesses:*

Why do you want to work at Tremont House of Pizza?*

Do you know anyone who has (in the past) or currently works here:*

If yes, please state who:

Additional information you would like us to know about yourself:

Have you had any previous employment?*

Employer 1 Information ( most recent employer)

Employer 1 Information:*

Please list company name, address, and phone number

Employer 1 -How did you end your employment with this company?*

I resigned

I was terminated

I am currently still employed here

I am a seasonal employee

Other

Employer 1- Please state reason for your employment ending*

Employer 1 - Job title*

Employer 1 - Starting pay*

Employer 1 - Current/Ending pay?*

Employer 1 - employment dates (list month/year of hire and end date):*

Employer 1 - Describe your duties at this job.*

Employer 1 - Supervisor's name and contact information:*

Past Employment

Do you have any other past employment to list?*

Yes

If yes, please use the box below to list employer names/phone numbers:*

List in order from second most recent to oldest

Use this box to enter any other previous employment you'd like us to know:

Please check the box below acknowledging that you understand our drug policy.*

I understand that Tremont House of Pizza is a DRUG FREE FACILITY AND WORK PLACE.

Signature / Disclosure Section

Attestation and Acknowledgement*

By checking the box below, I hereby: Attest that all information I have provided in conjunction with this employment application is true and complete. Attest that I will continue to provide true and complete information in conjunction with this application and my candidacy for the position to which I have applied (“Application Process”), including updates regarding any material changes in circumstances. Acknowledge and agree that if during the application process, I make any false or misleading statements—including material omission—that this may be considered grounds for elimination from employment consideration or rescission of the job offer, including revocation of appointment and removal if hired.

I acknowledge and attest to the above.

Please read and acknowledge at the bottom.*

Tremont House of Pizza provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

I agree and understand the terms of employement at Tremont House of Pizza.

This field is for validation purposes and should be left unchanged.

Employment Application

Employer 1 Information ( most recent employer)

Past Employment

Signature / Disclosure Section