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Little Maria’s Pizza and Subs is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Applicant Information

Date of Application:

Name:

Address:

City, State, and Zip Code

Telephone:

Email:

Employment Position

How did you hear about this position?

What days are you available for work?

What hours or shift are you available for work?

If needed, are you available to work overtime?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Personal Information

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizenship or legal status?

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

Job Skills/Qualifications

Please list the skills and qualifications you possess for the position for which you are applying:

Note: Little Maria's Pizza and Subs complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions

Education & Training

High School Name:

High School Location (City, State)

High School Year Graduated:

High School Degree Earned:

College/University Name:

College/University Location (City, State):

College/University Year Graduated:

College/University Degree Earned:

Vocational School/Specialized Training Name:

Vocational School/Specialized Training Location (City, State):

Vocational School/Specialized Training Year Graduated:

Vocational School/Specialized Training Degree Earned:

Military

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer City, State, Zip

Employer Phone:

Dates Employed:

Reason for Leaving:

Employer 2:

Job Title 2:

Supervisor 2:

Employer 2 Address:

Employer 2 City, State, Zip:

Employer 2 Telephone:

Dates Employed 2:

Reason for leaving 2:

Employer 3

Job Title 3:

Supervisor 3:

Employer 3 Address:

Employer 3 City, State, Zip

Employer 3 Telephone:

Dates Employed 3:

Reason for leaving 3:

The relationship between you and Little Maria's Pizza and Subs is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Little Maria's Pizza and Subs. No representative of Little Maria's Pizza and Subs has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will" and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

At Will Employment Agreement:

Yes. I agree to an "at will employment" and acknowledge this is my electronic signature.

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