Your Name *
Today’s Date *
Date Available *
Position(s) Applying For *
CELL Phone Number *
Home Phone Number
Email Address *
Same as mailing address
Current Employer Name
Dates of Employment
Reason for Leaving/Schedule if maintaining employment
Previous Employer #1 Name
Previous Employer #2 Name
High School Name *
I have graduated high school.
Please describe any particular skills or experience you have, or any additional training or certification programs you have completed that may be beneficial to your performance in the position for which you are applying.
Personal Reference #1 *
Personal Reference #1 Phone Number *
Personal Reference #2 *
Personal Reference #2 Phone Number *
How where you referred to us?
Have you worked for Pizza By The Chef - Branson West in the past? If so, when? *
Can you, within three days of beginning employment, submit verification of your legal right to work in the United States? * YesNo
I am 18 years of age or older. To allow you to sell certain products at Pier 28 Pizza & Grill, we must ask whether you are at least 18 years of age.
All positions at Pier 28 Pizza & Grill are customer service oriented. Many jobs require physical labor to perform. Many positions require being outdoors in hot, humid, cold, and inclement weather. Many areas involve you working on docks that are floating on water or other uneven surfaces. Can you perform the job functions of the position for which you are applying with/without reasonable accommodation? * YesNo
Pier 28 Pizza & Grill observes a zero-tolerance drug, alcohol, and tobacco use policy that includes post-offer, pre-employment, and random drug screening of candidates for hire. We may also conduct background and reference checks on candidates for hire. In the event of employment, if we discover that false or misleading information was conveyed on this application or during an interview (including representations made about availability to work), the employee may be terminated immediately.
I agree to abide by the drug-free policy and allow Pier 28 to conduct a full background and reference checks. * I agree.I DO NOT agree.
Many positions at Pier 28 Pizza & Grill are seasonal (approximately mid-May through the first week of September). We rarely grant time-off requests during these months for any position. Some of our busiest days are Memorial Weekend, the Fourth of July week, and Labor Day Weekend, and therefore we require all employees to be available for work those holidays. Your availability for work during the season may determine eligibility for hire.
Will you be available for work approximately mid-May through the first week of September, including weekdays, weekends and holidays, with the exception of an emergency? * YesNo
If no, explain:
Are you currently attending school/college? * YesNo
Current School Attending
Last Day of School
Date Available to Begin Work
Are you available to work weekends after school resumes? YesNo
Do you have any vacations planned? * YesNo
List any dates unavailable to work from mid-May through the first week of September:
By signing below, you are stating that you are available for work during the timeframe described above, except for an emergency and agree to fulfill the commitments set forth above if we hire you for this season.
Parent or Guardian (If under 18):
In connection with the attached Employment Application and Availability for Work Form you present to Pier 28 Pizza & Grill, please read the following statements.
I, (applicant’s name)
have completed the attached Application for Employment with Pier 28 Pizza & Grill. I certify that my answers are accurate and complete to the best of my knowledge. I acknowledge that if I become employed and Pier 28 Pizza & Grill discovers that I provided false or misleading information on my application or during interview(s), Pier 28 Pizza & Grill will terminate my employment.
I have read and as a result of this acknowledge and agree to the terms of the statements set forth above. I authorize Pier 28 Pizza & Grill or its agents to make such investigations and inquiries of my personal, employment, educational, and financial history by way of internet searches, consumer reports and personal contacts as may be necessary for an employment decision. I as a result of this authorize past employers, educational institutions and other persons to release to Pier 28 Pizza & Grill or its agents’ information regarding my salary history, dates of employment, positions held, responsibilities and duties performed, the reason for leaving, eligibility for rehire, performance, degree obtained and transcript information. I hereby waive any rights or claims I may have against Pier 28 Pizza & Grill, my past employers, educational institutions and other persons, and release Pier 28 Pizza & Grill and its employees, representatives and agents from any and all liability, claims or damages that may directly or indirectly result from the use, disclosure or release of any information by any person or party, whether such information is favorable or unfavorable to me. I acknowledge that if I am determined to be a candidate for hire, I may be asked to furnish a sample of my urine, breath, and/or hair for analysis.
Applicant’s Name *
Parent or Guardian Signature (If under 18)
4 + 0 = ?Please prove that you are human by solving the equation *