Cousin Vinny`s Pizza EMPLOYMENT APPLICATION

Cousin Vinny's Pizza
An Equal
Opportunity
Employer
EMPLOYMENT APPLICATION
Personal Information
Office Use
How were you referred to us:
Today’s Date:
Name
Social Security Number
Date of Review (Month/Day/Year)
/
middle
/
last
first
middle
last
Present Address:
street
city
Phone:
state
Mobile/Pager/Other:
E-mail:
When requested, can you provide genuine documentation establishing your identity and
eligibility to be legally employed in the United States?
Yes
zip
Yes
Are you 18 years or older?
No
You must be 18 or older to work for this organization.
No
Yes
Have you been convicted of a crime in the last 7 years?
No
A conviction will not necessarily prohibit you from being employed.
If yes, when, where and what was the nature of the offence?
Do you have any relatives working for Cousin Vinny’s Pizza? If yes, what are their names, relationships and locations?
Availability
Position Desired:
Delivery Driver
Date you can start:
How many hours a week do you wish to work?
Pizza Maker
Phone Customer Service
When are you available?
Check all that apply:
Full-Time
Part-Time
Late-Night Week Ends
Anytime
Days
Week Ends
Evenings
Late-Night Week Days
Temporary
Seasonal
Education
School most recently attended:
Location:
Did you graduate?
Highest year or grade completed:
Yes
No
Major:
Do you plan to return to school?
Yes
No
If yes, when?
Degree/Diploma:
For Management and Delivery Applicants Only
All Management and Driver applicants must meet the requirements of our Safe Drive Policy. Your motor vehicle record will be requested prior to hire and checked at least every six months
thereafter for compliance with Cousin Vinny’s Pizza Safe Driver Policy.
List your current valid driver’s license #.
Have you held a valid driver’s license (not a learner’s permit) for at least two years?
State:
Expiration Date:
List any other Driver’s License held in the past two years.
Yes
No
List any traffic violations within the last three years. Include date, violation, and penalty
(exclude parking violations):
State:
Number:
Being convicted of any of the following in the last five years will disqualify a candidate. In the
past five years, have you ever been convicted of :
Leaving the scene of an accident?
Yes
No
Auto insurance company:
Policy Number:
Reckless driving?
Yes
No
Policy effective date:
Participating in an illegal speeding contest?
Yes
No
Amount of Liability coverage:
Hit and run?
Yes
No
I give authorization to run a Motor Vehicle Record to determine my eligibility for
employment. I have listed all license numbers I have driven under in the past two years.
Driving impaired or under the influence of drugs or alcohol?
Yes
No
Vehicular homicide or assault?
Yes
No
Eluding or attempting to elude a police officer?
Yes
No
Expiration Date:
Signature
Date
Previous Cousin Vinny’s Pizza Experience
Have you previously worked for Cousin Vinny’s Pizza?
Yes
No
If yes, List all periods of employment.
List all location to which you were assigned.
Who were your immediate supervisors?
Reason for leaving?
Employment History
List your three most recent positions held. List the most recent employer first.
From
I
To
I
From
I
To
I
From
I
Employer Name
Employer Name
Employer Name
Type of Business
Type of Business
Type of Business
Address
Address
Address
Phone Number
Phone Number
Phone Number
Position Held
Position Held
Position Held
Duties
Duties
Duties
Supervisor
Supervisor
Supervisor
Starting Pay
Starting Pay
Starting Pay
Ending Pay
Ending Pay
Ending Pay
Reason for Leaving
Reason for Leaving
Reason for Leaving
References Checked:
By (Initial)
Yes
No
References Checked:
By (Initial)
Yes
No
References Checked:
To
I
Yes
No
By (Initial)
I certify the facts contained in this application are true and complete. I understand that, if employed, false statements or omissions on this application are grounds for dismissal.
I authorize investigation of all statements contained herein. I further authorize all individuals, companies, schools, corporations, courts and/or law enforcement agencies to give you any and
all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release all parties from all liability for any damage that may
result from furnishing the same to you. I give authorization to check my Motor Vehicle Record (MVR) and attest that, to the best of my knowledge, my motor vehicle record does not include
violation other than those listed in the vehicle information section.
I understand and agree that, if hired, my employment is for no definite period and that the company can terminate the employment relationship at any time, with or without cause, and with
or without notice. This employment relationship exists regardless of any other statements or to the contrary.
With the exception of the Federal Equal Pay Act, I agree to bring any claim relating to my employment or application for employment within the applicable statute of limitations period or
within one year of the challenged action, whichever period is shorter, and to waive any statute of limitation to the contrary. In the event this provision is unenforceable, I agree to the
extension of this period to allow its enforcement as far as legally possible.
IT IS UNLAWFUL IN THE STATES OF MARYLAND AND MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT. AN
EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.
Date:
Signature:
This organization complies with the Immigration Reform and Control Act of 1986 which requires you to furnish documentation showing your identity and legal authorization to work in the
United States once you have been offered employment.
Cousin Vinny’s Pizza
New Hire
Topping Code Test
In order to be considered for employment at any Cousin Vinny’s Pizza location, you must be able
to memorize all of the topping codes listed below.
This test will be graded as pass or fail. You must score 100% correct in order to pass.
+ Extra
2 Double
~ Light
- None
Sa Pizza Sauce
Al Alfredo Sauce
Bq BBQ Sauce
Bu Buffalo Sauce
Ra Ranch
Bl Blue Cheese
St Steak
D Red Potatoes
Di Dill Weed
Sw Swiss Cheese
S Italian Sausage
V Green Olives
Q White Chicken
R
H
O
B
M
P
J
K
I
A
F
Z
E
G
T
L
N
Ripe (Black) Olives
Ham
Red Onions
Ground Beef
Mushrooms
Pepperoni
Jalapeno Peppers
Bacon
Spinach
Artichoke Hearts
Feta
Banana Peppers
Cheddar Cheese
Green Peppers
Fresh Tomatoes
Fresh Garlic
Pineapple
04/14
Cousin Vinny’s Pizza
New Hire
Daily Specials Test
In order to be considered for employment at any Cousin Vinny’s Pizza location, you must be able
to memorize all of the daily specials listed below.
This test will be graded as pass or fail. You must score 100% correct in order to pass.
You will also need to be moderately familiar with the entire Cousin Vinny’s Pizza Menu.
ie. pizza sizes, specialty pizzas, drink flavors, etc...
09/14