Pizza House - Online Application

Please fill out our online application form.

Personal Information:
*Name:
*Email:
Phone:
Address:
Address 2:
City:
State:
Zip:
Date of birth:
Drivers license #:

Employment Information:
Can you legally work in the United States?
Have you worked at The Pizza House before?
If yes, when?

Desired position:
Desired hourly rate / salary:

Desired start date:
Hours desired per week:
Desired Shift (choose all that apply):	Day Shift Dinner Shift Late Shift

Are you currently employed?
Name of current employer:
May we contact current employer?
Current employer phone number:

Past employer 1:
Phone:
Dates employed:
Starting pay:
Ending pay:
Reason for leaving:
May we contact?

Past employer 2:
Phone:
Dates employed:
Starting pay:
Ending pay:
Reason for leaving:
May we contact?

Past employer 3:
Phone:
Dates employed:
Starting pay:
Ending pay:
Reason for leaving:
May we contact?


Potential Limitations:
Have you ever been convicted of or plead guilty to a criminal offense?
If yes, please explain:

Do you have any physical limitations?
If yes, please explain:

Education:
Completed high school?
Year graduated:
Years of college completed:
4 year degree completed?

References:
Reference 1:
Relationship:
Phone:

Reference 2:
Relationship:
Phone:

Reference 3:
Relationship:
Phone:

Driving Record:	(if applying for employment as delivery driver)
State / country of driver's license:
Date license issued:
Do you have at least one year of regular driving experience?
Have you been in an accident in the past 3 years?
If yes, explain:
Have you had any tickets in the past 3 years?
If yes, explain:
Has your license ever been suspended, revoked or your right to drive legally restricted?
If yes, explain:

Verification:
Type your name to agree that all of the information presented in this application is accurate to the best of your knowledge:


*Questions / Comments: