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Manager Application

Personal Information

Name (Last, First, MI):*

Present Address:*

City:*

State:*

Zip Code:*

Permanent Address (if different):

Phone Number:*

Email Address:*

Referred By:

Employment Desired

Position (Check One):
Store Manager
Assistant Manager

Hours:
Full Time
Part Time

Date you can start:

Salary Desired:

Are you employed?:
Yes
No

If so, may we inquire of your present employer?:
Yes
No

Have you ever applied to this company before?:
Yes
No

If so, when and where?:

Background Information

Subjects of special study/research, work or special training/skills

Are you willing to submit information for a pre-employment background screening?:*
Yes
No

Are you currently charged with a crime involving violence, sex, stalking, minors, theft, property damage, fraud, robbery, or drugs?:*
Yes
No

Former Employers

List your two most recent jobs, starting with the most recent one first.

EMPLOYER 1
Date (Month and Year):
Name:

Start Date:

End Date:

Position:

Reason for leaving:

EMPLOYER 2
Date (Month and Year):
Name:

Start Date:

End Date:

Position:

Reason for leaving:

General Information

Please answer the following questions to the best of your ability.

Aside from the food, what compels you to eat/not eat at a particular restaurant?

Why do you want to work for Bellagios Pizza?

Do you work best in a structured or casual environment?

What do you think you would find most rewarding about working for Bellagios Pizza?

What do you think you would find most challenging about working for Bellagios Pizza?

What are your interests/hobbies outside of work?

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information."

"I understand that Bellagios Pizza is a 'Drug-Free' Environment and that I may be subject to random, with-cause and post-accident drug testing."

"I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that employment is 'At Will', and employment may be terminated for any cause at any time."

Initials*

3-1+2=

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