Application for Work

Application for Employment

Marakas Pizza — We are glad you want to join our team!

Resume / Résumé: uploads are not enabled on this form. Please bring your resume to the interview or email it to marakaspizza@gmail.com.

Position

Position You Are Applying For

Which location are you applying to?

Desired Salary / Pay Rate

Date Available for Work

Birth Date

Personal Information

First Name

Middle

Last Name

Address

City

State

Zip Code

Home Phone

Cell Phone

Email Address

Are you legally authorized to work in the U.S.? (Do you have a Social Security number and a valid work permit?)

Yes

If you don’t have your work permit yet, you can still apply — we’ll discuss the options during the interview.
Si aún no tienes tu permiso de trabajo, puedes aplicar de todas formas — conversaremos las opciones en la entrevista.

Are you a U.S. Citizen?

Yes

Have you ever been convicted of a felony?

Yes

If yes, please explain

If selected for employment, are you willing to submit to a pre-employment drug screening test?

Yes

Education

School Name

Location

Years Attended

Degree Received

Major

Other training, certifications or licenses held

Employment History

Most recent employer first. Leave blank if not applicable.

Employer 1 (most recent)

Employer

Dates Employed

Work Phone

Pay Rate (from / to)

Position

Duties Performed

Supervisor's Name and Title

Reason for Leaving

May we contact them?

Yes

Employer 2

Employer

Dates Employed

Work Phone

Pay Rate (from / to)

Position

Duties Performed

Supervisor's Name and Title

Reason for Leaving

May we contact them?

Yes

References

Reference 1

Name

Title

Company

Phone

Reference 2

Name

Title

Company

Phone

Reference 3

Name

Title

Company

Phone

Acknowledgement and Authorization

I certify that all answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Signature (type your full name)

Date