Grotto Pizza Employment Application – Wilkes Barre

Personal Information

First Name:
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Last Name:
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Address
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Phone Number
Phone Number
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Refered By
(not required)
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Employment Desired

Are you currently employed?
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If so may we inquire of your present employer?
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Have you ever applied to Grotto Pizza (PA) before?
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If you have applied to Grotto Pizza (PA) before, please select a location.
(optional)
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Date you can start:
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Desired Salary:
Desired Salary:
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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
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Education

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

List your last four employers, starting with last one first.
Name of former Employer
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Position:
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Reason for leaving:
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Start & End Date(s):
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Salary:
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Name of former Employer
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Position:
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Reason for leaving:
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Start & End Date(s):
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Salary:
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References

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