APPLICATION FOR EMPLOYMENT
 

Pazzo Pazzo requires that all potential associates complete the following document in its entirety. Applicants who exclude information such as the POSITION APPLIED FOR, SOCIAL SECURITY NUMBER, and WORK HISTORY (including the name of employer, dates of employment, rate of pay and reason for leaving) will not be considered for employment at this establishment.

 
Name: Email:
Date of Birth:
Present Address: Street: Phone Number:  
  City: Mobile:
  State: Home:
 
List any friends or relatives which you may know to have previously worked at Pazzo Pazzo or Calaloo Café:
 
Who should we contact in the
event of an emergency:
Referred By:
Name:
Position Applying for:
Relationship:
 
Phone:
Date you can start?
 
Circle one answer for each of the following questions:
Are you looking for employment for:
Full Time OR Part Time
Will you work overtime if required?
Yes OR No
 
Are you employed now? Yes OR No
If yes, may we inquire of your present employer? Yes OR No
 
Have you ever been employed by Pazzo Pazzo or Calaloo Café before? Yes OR No
If yes, when? From:
 
To:
 
Have you filed an application with Pazzo Pazzo before? Yes OR No
If yes, when:
 
Have you ever been convicted of a felony? Yes OR No
If yes, please explain briefly:
 
Are you legally eligible to be employed in the United States? Yes OR No
 

 
SCHEDULE AVAILABILITY
Please note the times/dates you would be AVAILABLE to work
Mon Yes
No
From: To:
 
Tue Yes
No
From: To:
 
Wed Yes
No
From: To:
 
Thu Yes
No
From: To:
 
Fri Yes
No
From: To:
 
Sat Yes
No
From: To:
 
Sun Yes
No
From: To:
 

 
EDUCATION
School Name and Location of School Years Completed Did you graduate
Grammar School
High School
College/Other
 

 
EMPLOYMENT HISTORY
JOB 1 Dates worked To:
  From: To:
  Employer's Name: Supervisors Name:
  Employers Address: Employers Phone:
  Reason for Leaving: Work Performed and
job responsibilities:
 
JOB 2 Dates worked To:
  From: To:
  Employer's Name: Supervisors Name:
  Employers Address: Employers Phone:
  Reason for Leaving: Work Performed and
job responsibilities:
 
JOB 3 Dates worked To:
  From: To:
  Employer's Name: Supervisors Name:
  Employers Address: Employers Phone:
  Reason for Leaving: Work Performed and
job responsibilities:
Please indicate additional work experience on the back of the second page of this application.
 
PERSONAL REFERENCES
Please list the name and telephone number of three business references who are not related to you and are not
previous supervisors. If not applicable, list three school or personal references who are not related to you.
 
Name Address Telephone
 

It is understood and agreed that any exclusion of required information or misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or termination of my employment if hired. Furthermore, I understand that just as I am free to resign at any time, Pazzo Pazzo reserves the right to terminate my employment at any time, with or without cause or prior notification. I understand that no representative of Pazzo Pazzo has the authority to make any assurance to the contrary.

I give Pazzo Pazzo the right to investigate all references and to secure additional information about me, if job related. I hereby release Pazzo Pazzo and its representative from liability for seeking such information and all other persons, corporations, or organizations for furnishing such information.

Pazzo Pazzo is an equal opportunity employer.

This application is current for only 60 days. At the conclusion of this time, if a representative has not contacted you and you still would like to be considered for employment, it will be necessary for me to fill out a new application.

I have read and understand that I am seeking employment for Pazzo Pazzo Inc., under the terms and conditions set forth above. I certify that all the information I have provided is true and accurate.

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