Application – Pier 28 Pizza and Grill

Employment Application

Do you need assistance with the online application? Call 417-818-7987 to speak with Gary.

Employment Application

Your Name *

Today’s Date *

Date Available *

Position(s) Applying For *

CELL Phone Number *

Home Phone Number

Email Address *

Physical Address

Same as mailing address

Street

City

State

Zip

Mailing Address

Street *

City *

State *

Zip *

Current Employer

Current Employer Name

Supervisor Name

Phone Number

Position Held

Responsibilities

Dates of Employment

Wage

Reason for Leaving/Schedule if maintaining employment

Previous Employer #1

Previous Employer #1 Name

Supervisor Name

Phone Number

Position Held

Responsibilities

Dates of Employment

Wage

Reason for Leaving/Schedule if maintaining employment

Previous Employer #2

Previous Employer #2 Name

Supervisor Name

Phone Number

Position Held

Responsibilities

Dates of Employment

Wage

Reason for Leaving/Schedule if maintaining employment

High School Name *

Town/Location *

I have graduated high school.

College Name

Town/Location

Degree/Years

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.

Skills

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? *

Additional Questions

Can you, within three days of beginning employment, submit verification of your legal right to work in the United States? *

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? *

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. *

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? *

If no, explain:

Are you currently attending school/college? *

Current School Attending

Last Day of School

Date Available to Begin Work

Are you available to work weekends after school resumes?

Do you have any vacations planned? *

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.

Signature *

Date *

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.

Positions at Pier 28 Pizza & Grill are customer service oriented.
Many positions require performance of physical labor, generally outdoors, in all types of weather.
Many positions require work to be performed on docks floating on water or other uneven surfaces.
Many positions at Pier 28 Pizza & Grill are seasonal (approx. mid-May through the first week of September).
Time-off requests are rarely granted from mid-May through the first week of September for any position.
Employees are expected to be available for work on weekdays, weekends, Memorial Weekend, the 4th of July holiday, and Labor Day Weekend.
Pier 28 Pizza & Grill observes a zero-tolerance drug, alcohol and tobacco use policy that may include a post-offer, pre-employment, and random drug screening of candidates for hire.
Pier 28 Pizza & Grill may conduct background and reference checks on candidates for hire, which may include internet checks, consumer reports (credit checks, criminal record checks, driving records checks), educational verification, and past-employer checks. Information obtained from any background check will not be used to discriminate against an applicant, but rather only to provide information relevant to the safe and successful performance of the job duties required for the position applied for herein. Information obtained in any background check will be kept confidential, and only personnel with a genuine need to know will be allowed to access such information.
False or misleading information on this application or given during an interview (including representations made about availability to work) may result in my immediate termination.
Pier 28 Pizza & Grill operates under an employment-at-will policy, which means that employers and employees can terminate the employment relationship at any time for any reason.
Pier 28 Pizza & Grill adheres to Missouri and Federal laws regarding reporting new hires and verifying employment eligibility. You will need to complete an I-9 form, and you must provide proper documentation on the date of hire. Failure to provide documentation verifying the employee’s eligibility to work within three (3) days of employment may result in termination, under federal law.

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 *

Today’s Date *

Parent or Guardian Signature (If under 18)

3 + 1 = ?Please prove that you are human by solving the equation *