Please print and mail to:
Pizza by Elizabeths
4019 Kennett Pike
Greenville, DE 19807

Please Read Before You Apply

Name (last name first):_____________________________, _____________________________

Date:_____________________________ Referred by:__________________________________

Address:__________________________________________________________

__________________________________________________________________

__________________________________________________________________

Phone Number:_____________________________________________________

Social Security Number:______________________________________________

Are you at least: 21? 18? 16?

(The above information is required by the Delaware Alcoholic Beverage Control Commission and Delaware Labor Laws.)

Are you legally employable in the U. S. A.?________________________________

If you are not a U.S. citizen, please indicate type of visa you hold:_____________________________

Have you ever been convicted of a criminal offense? (A positive response does not necessarily mean that you will not be considered for employment):_____________________________

If yes, please give details:_________________________________________

__________________________________________________________________

__________________________________________________________________

Have you ever been educated or employed under another name? If so, please list:

__________________________________________________________________

__________________________________________________________________

Have you previously been employed by Elizabeths? If so, where and when? _____________________________

Position Desired:_____________________________ Salary Desired:_____________________________

Part time, Summer, Full time (circle)

Date you can start:______________ Can you work: Weekdays? Weeknights? Weekends?

High School: Years Attended:___________ Did you graduate?___________

College: Years Attended:___________ Did you graduate?___________

Graduate School: Years Attended:___________ Did you graduate?___________

Other special training, skills, hobbies, or activities you have that would further qualify you for the job you are seeking:

__________________________________________________________________

Please give as complete an employment record as possible, starting with your present or last employer.

Company Name: ______________________________ Type of Business:______________________

Starting Date:__________________ Leaving Date:__________________ May We Contact? Yes/No

Address:_____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Phone Number:_________________________________________________________________

Salary $___________________ Hourly/Weekly/Annually Last Position:__________________

Supervisor's Name:_____________________________________________________________

Reason For Leaving:____________________________________________________________

Describe Work and Responsibilities:_______________________________________________

....

Please give as complete an employment record as possible, starting with your present or last employer.

Company Name: ______________________________ Type of Business:______________________

Starting Date:__________________ Leaving Date:__________________ May We Contact? Yes/No

Address:_____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Phone Number:_________________________________________________________________

Salary $___________________ Hourly/Weekly/Annually Last Position:__________________

Supervisor's Name:_____________________________________________________________

Reason For Leaving:____________________________________________________________

Describe Work and Responsibilities:_______________________________________________

....

Please give as complete an employment record as possible, starting with your present or last employer.

Company Name: ______________________________ Type of Business:______________________

Starting Date:__________________ Leaving Date:__________________ May We Contact? Yes/No

Address:_____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Phone Number:_________________________________________________________________

Salary $___________________ Hourly/Weekly/Annually Last Position:__________________

Supervisor's Name:_____________________________________________________________

Reason For Leaving:____________________________________________________________

Describe Work and Responsibilities:_______________________________________________

I cannot work these times (circle):

Shifts start as early as 7:00am and may end as late as 11:00pm.

Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday

I would like to work between _______and________hours per week.

I have the following upcoming additional days and/or times that I cannot work:

________________________________________________________________

________________________________________________________________

I hereby give permission to Elizabeths, Inc. to obtain information concerning my past record from previous employers and other sources and I release those entities from liability in providing such information to Elizabeths, Inc.

I understand and agree that any employment relationship with Elizabeths, Inc. is of an "at will" nature, which means that I may resign at any time and Elizabeths, Inc. may terminate my employment at any time, with or without cause, and that this "at will" relationship may not be changed by any written document or by conduct. I also understand and agree that my employment is for no definite period, regardless of the date of payment of my wages or salary. I understand that misrepresentation or omission of facts in this application or in the application process is cause for dismissal.

Signature of Applicant: ___________________________________________ Date:___________________

Please print and mail to:
Pizza by Elizabeths
4019 Kennett Pike
Greeneville, DE 19807

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