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Employment

Applicant Information
Applicant Name:
Address:
City, State, and Zip Code:
Email Address:
Date of this application:

Telephone Number:
Please fill out all sections below:

Employment Position
Position applying for:
What days are you available for work?
What hours are you available for work?
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?
Do you have any condition which would require a job accommodation? If yes, please describe accommodation requested:

Job Skill/Qualification
Please list below the skills and qualifications you possess for the position for which you are applying: (Note: Pizzeria Lucca complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training
High School:
High School Location:
High School Year Graduated:
High School Degree Earned:
College:
College Location:
College Year Graduated:
College Degree Earned:

Military
Are you a member of armed services?
What branch of military did you enlist

Previous Employment
Employer Name:
Job & Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

Previous Employment 2
Employer Name:
Job & Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

Previous Employment 3
Employer Name:
Job & Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:

References: Please provide 2 personal and/or professional references below
1.) Reference Name & Relationship to reference:
1.) Contact Information:
2.) Contact Information
2.) Reference & Relationship to reference: