Grotto Pizza Employment Application – Harveys Lake

Personal Information

First Name:
First Name
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Field is required!
Last Name:
Last Name
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Field is required!
Address
Present Address
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Field is required!
Phone Number
Phone Number
Phone Number
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Field is required!
Refered By
(not required)
Refered By
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Field is required!

Employment Desired

Are you currently employed?
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Field is required!
If so may we inquire of your present employer?
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Field is required!
Have you ever applied to Grotto Pizza (PA) before?
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Field is required!
If you have applied to Grotto Pizza (PA) before, please select a location.
(optional)
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Field is required!
Date you can start:
Select a date
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Field is required!
Desired Salary:
Desired Salary:
Desired Salary:
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Field is required!
Please select a position:
Desired postion you are applying for at Grotto Pizza.
  • - select a option -
  • Baker
  • Cook
  • Server
  • Bus Person
  • Delivery Driver
  • Counter/Phone
  • Bartender
  • Bar Server
- select a option -
Field is required!
Field is required!

Education

High School Dimploma:
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Field is required!
College Degree:
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Field is required!
Additional Education / Trade School / Special Training or Skills
Any additional higher / adult learning or similar skills.
Additional Education / Trade School / Special Training or Skills
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Field is required!
US Millitary
Please describe Rank.
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Field is required!

Former Employers

List your last four employers, starting with last one first.
Name of former Employer
Name of former Employer:
Field is required!
Field is required!
Position:
Position
Field is required!
Field is required!
Reason for leaving:
Reason for leaving
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Field is required!
Start & End Date(s):
Select a date
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Field is required!
Salary:
Salary
Field is required!
Field is required!
Name of former Employer
Name of former Employer:
Field is required!
Field is required!
Position:
Position
Field is required!
Field is required!
Reason for leaving:
Reason for leaving
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Field is required!
Start & End Date(s):
Select a date
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Field is required!
Salary:
Salary
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Field is required!

References

Please provide the names or three persons not related to you, whom you have known at least one year.
Reference First & Last Name:
Reference First & Last Name
Field is required!
Field is required!
Address:
Reference Address
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Field is required!
Business Name:
(not required)
Business Name
Field is required!
Field is required!
Years Known
How long you have known this reference.
  • - please select -
  • 1
  • 2
  • 3
  • 4
  • 5+
- please select -
Field is required!
Field is required!
Reference First & Last Name:
Reference First & Last Name
Field is required!
Field is required!
Address:
Reference Address
Field is required!
Field is required!
Business Name:
(not required)
Business Name
Field is required!
Field is required!
Years Known
How long you have known this reference.
  • - please select -
  • 1
  • 2
  • 3
  • 4
  • 5+
- please select -
Field is required!
Field is required!

Authorization

By checking the box you agree to the following;
“I CERTIFY THAT THE FACTS CONTAINED IN THIS ONLINE APPLICATION ARE TRUE AND COMPLETE THE THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE THE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE. PERSONAL OR OTHERWISE, AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM THE UTILIZATION OF SUCH INFORMATION.

I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR MAKY ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE.”
Field is required!
Field is required!