Employment Application

You can also choose to download our Employment Application by clicking here.

This application is for the New Hope / Plymouth location
First Name(*):
Middle Name(*):
Last Name(*):
Email(*):
City(*):
State(*):
Zip(*):
Phone(*):
Are you 16 or older:
 Yes
 No
Are you 18 or older(*):
 Yes
 No
Do you have transportation(*):
 Yes
 No
Currently employed(*):
 Yes
 No
Date you can start(*):
Desired position(*):

Delivery drivers must have a valid drivers license and proof of insurance and comply to a background check.

Desired pay rate/salary:
Desired hours per week(*):
Hours/days available(*):

Have you had a DUI or Reckless driving charge in the past 5 years:

Make selection(*):
 Yes
 No
If yes, nature of offense:
Have you worked for us before(*):
 Yes
 No
if yes, list dates and reason:

EDUCATION

High School and City(*):
Grade Completed(*):
Graduation Date:
College Name and City:
School Achievements:
List activities or hobbies:

EMPLOYMENT HISTORY

Most recent employer.

Employer name:
Starting wage:
Ending wage:
Start date:
End date:
Reason for leaving:
Type of business:
Position held:
Eligible for rehire:
 Yes
 No
Supervisior name:
Employer phone number:
May we contact:
 Yes
 No

Previous employer

Employer name (2):
Starting wage (2):
Ending wage (2):
Starting date (2):
Ending date (2):
Reason for leaving (2):
Type of business (2):
Position held (2):
Eligible for rehire (2):
 Yes
 No
Supervisor name (2):
May we contact (2):
 Yes
 No

REFERENCES

List three personal or professional references that we may contact:

Reference #1

Name(*):
Relationship to you(*):
Number of years known(*):
Reference phone:
Reference email:

Reference #2

Name (2):
Relationship to you (2):
Number of years known (2):
Reference phone (2):
Reference email (2):

Reference #3

Name (3):
Relationship to you (3):
Number of years known (3):
Reference phone (3):
Reference email (3):

ADDITIONAL INFORMATION

Legal to work in U.S(*):
 Yes
 No
Are you able to lift 50 lbs(*):
 Yes
 No

Are you able to comply with spending 6 to 9 hours on your feet each shift?

Make a selection(*):
 Yes
 No

Proper work apparel, no excessive jewelry or makeup and good hygiene are requirements of the position.

Are you willing to comply(*):
 Yes
 No

Please make sure you answered all the required (*) questions before you submit.

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND I UNDERSTAND THAT IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR TERMINATION OF EMPLOYMENT. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED ON THIS APPLICATION AND ALL EMPLOYERS LISTED ABOVE TO GIVE ANY AND ALL INFORMATION CONCERNING MY EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE. I GIVE MY AUTHORIZATION FOR CHANTICLEAR PIZZA TO RUN A MOTOR VEHICLE RECORD TO DETERMINE MY ELIGIBILTY FOR EMPLOYMENT.

I Agree(*):