EMPLOYMENT APPLICATION Position For Which Applying *Status *Full TimePart TimeAvailable Hours to Work *Name *FirstLastHome Address *How Long Have You Been at This Address? *City, ST *ZIP Code *Phone Number *Email *Are you 16 years of age or older? *YesNoAre you 18 years of age or older? *YesNoHave You Ever Been Employed by Godfather's Pizza? *If yes, please tell us when/where.Are you Legally Eligible to Work in the USA? *YesNo(Note: Proof of citizenship or immigration status will be required upon employment.)Highschool EducationName, LocationEducation Name, Location, Degree or Coursework, Year of GraduationTrade, Business, Vocational Name, Location, Degree or Coursework, Year of GraduationExtracurricular ActivitiesU.S. Military ServiceBranchYearsLocationsWhat Job(s) did you hold/Duties PerformedEmployment HistoryName and Address of Employer, Dates of Employment, Position, Wages, Supervisor, Reason for leaving, May we contact, if not, why?Name and Address of Employer, Dates of Employment, Position, Wages, Supervisor, Reason for leaving, May we contact, if not, why?Name and Address of Employer, Dates of Employment, Position, Wages, Supervisor, Reason for leaving, May we contact, if not, why?If your name differed from your present name while employed for any of the above, please indicate former name and employer(s). Are there any other experiences or skills which qualify you to work for Godfather's Pizza? *How did you hear about Godfather's Pizza as a place to seek possible employment? *Why do you want to work at Godfather's Pizza? *Do you know anyone who currently works for Godfather's Pizza? *Driver's full name and address as it appears on your driver's license:License NumberExpiration DateCity/State/Zip CodeDo you have liability insurance and do you agree to notify your manager of any changes, lapses or cancellations?YesNo***COMPLETE THIS INFORMATION ONLY IF YOU ARE APPLYING TO DELIVER PIZZA IN ADDITION TO RESTAURANT HOURLY EMPLOYEE DUTIES*** Name of your Insurance Company, Expiration Date & Policy NumberAre you aware of any defects that could cause the automobile you are to use for work to fail a safety inspection?YesNo***COMPLETE THIS INFORMATION ONLY IF YOU ARE APPLYING TO DELIVER PIZZA IN ADDITION TO RESTAURANT HOURLY EMPLOYEE DUTIES*** Make, model, year, license plate number, state of registrationPlease Describe any accidents you have received while driving within the past three years.Please Describe any tickets you received while driving within the past three years.APPLICANT: READ ACKNOWLEDGEMENT CAREFULLY - The facts set forth in this application are true and accurate to the best of my knowledge and belief. I understand that I will not be hired to work a fixed schedule and that scheduled hours may vary from week to week depending on business needs. I understand that any false information I record on this application or deliberate ommision of any information requested will be sufficient reason for rejection of my application or termination of my employment. I further understand and agree that if my employment is terminated, I must immediately return all of the corporation's property in my custody, including office keys, uniforms and manuals. I understand that completing this application does not constitute an agreement by Godfather's Pizza to employ me. In making this application, I also understand that all information I have furnished may be investigated for verification by contacting former employers (except where otherwise indicated herein), references and any parties or sources who may have information Godfather's Pizza deems relevent to my employment, including motor vehicle, criminal and education records. I authorize Godfather's Pizza and its representatives to conduct such an investigation and release from all liability or damage those individuals, firms or employers who may provide such information, and Godfather's Pizza in gathering such information. I understand that if I obtain employment with Godfather's Pizza, my employment will not be for a fixed period of time and that it can be terminated by the Company, or me, with or without notice for any reason or no reason, and without liability for wages, salary or other compensation or benefits except what I have earned as of the date of termination, or specified by Federal, State or Local law. No employee or agent of Godfather's Pizza other than a Corporate Officer, has the authority to make additions, deletions, or modifications to this Acknowledgement.Date & SignatureCommentSubmit To download this form as a PDF, please CLICK HERE.