Personal Information
First Name Last Name
Address
City State/Province
Zip Code
Country/Region
Are You Over 18? Yes No
Initial Employment Application
Contact Information
Email Address Home Phone
Work Phone Work Extension
Mobile Phone Fax Number
Available Start Date   Pick a Date  
A Little About Yourself...
Nickname
Notes
Hobbies
Health Issues
Position Information
Desired Location
Desired Position
Availability
Weekday Monday Tueday Wednesday Thurday Friday Saturday Sunday
Day Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No
Night Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No 		Yes
No
Driver Information
Drivers License Driver State Current Points on Drivers License
Yes No
Background Information
Have you Ever Worked for Mustang Pizza? Yes No
Are you eligible for lawful employment in the United States? Yes No
Have you ever resigned from or otherwise left any employment while allegations of misconduct or
harassment on your part were pending or under investigation?		 Yes No
Are you aware of any current investigation that may possibly result in criminal charges against you? Yes No
Have you used illegal drugs in the last 12 Months? Yes No
Have you ever been convicted of any violation of the law, other than minor traffic violations?
(e.g. speeding is a minor violation, DUI and reckless driving are not)		 Yes No
Are you related to any person employed by Mustang Pizza? Yes No
If so, Who?
Education Information
High School Completed Last Grade Completed After School Activities
Yes No Yes No
College Major
Date Began  Pick a Date  
Current Employment Information
Present Employer Title Position Hourly Wage
Date Began  Address Phone Supervisor
 Pick a Date  
Reason For Leaving
Describe Duties May We Contact
Yes No
Other Information
Comments