Applicant Information

Restaurant Name

Date Applied

Location / Store #

Received By

Full Legal Name *

Preferred Name

Phone *

Street Address

City / State / ZIP

Availability

Please be specific. We schedule many shifts during evenings, weekends, school breaks, and holidays.

Day	Available From	Available Until	Notes (school, sports, other job)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Maximum Hours/Week

Minimum Hours/Week

Preferred Shift Length

Can work holidays / big game days?

Yes No Some

Dates/times you cannot work in the next 90 days

Schedule notes (school, sports, other job, childcare, transportation, etc.)

Work History, Responsibility Experience, and Training

Entry-level applicants may list volunteer work, school activities, sports leadership, babysitting, lawn care, family business work, or other responsibility experience.

Experience #1

Company / Organization

Phone

Position / Role

Supervisor

Approximate Dates

May we contact?

Yes No

Reason for Leaving

Main Duties / Responsibilities

Experience #2

Company / Organization

Phone

Position / Role

Supervisor

Approximate Dates

May we contact?

Yes No

Reason for Leaving

Main Duties / Responsibilities

Education, Training, and Certifications

Highest level completed

In school High school / GED Some college / trade Degree

Relevant Training

Languages You Can Use at Work

Other Skills

References

List two people who can speak to your reliability, work ethic, customer service, teamwork, or leadership. Do not list relatives unless they supervised your work.

Reference 1

Name

Relationship

Phone

Years Known

Reference 2

Name

Relationship

Phone

Years Known

Applicant Certification and Signature

I certify that the information I provided in this application is true and complete to the best of my knowledge.
I understand that false, incomplete, or misleading information may result in refusal to hire or separation from employment if discovered after hire.
I authorize the restaurant to verify job-related information I provided, including employment history, references, education, certifications, and qualifications.
I understand that any background check, motor vehicle record check, or consumer report may require a separate written disclosure and authorization before it is obtained.
I understand that employment is at will to the extent permitted by law. This application is not a contract or guarantee of employment.

Applicant Signature (type full name to sign)

Date

Printed Name

Phone

We are an equal opportunity employer. Hiring decisions are based on job-related qualifications, availability, work history, references, and ability to perform the essential functions of the position, with or without reasonable accommodation.

Do not include Social Security numbers, birth dates, medical information, or copies of IDs with this application. Required hiring documents are collected only after an offer is made.

Rev. 06/11/2026 · Keep completed applications in a secure personnel/recruiting file.

Are you legally authorized to work in the United States? Proof of work authorization will be required after hire.	Yes No
Are you at least 16 years old?	Yes No
Are you under 18 years old? If yes, you must provide required Ohio minor work permit documents before starting work.	Yes No
Delivery driver applicants only: Are you at least 18 years old?	Yes No N/A
Can you perform the essential functions of the position selected, with or without reasonable accommodation?	Yes No

Are you comfortable standing for most of the shift and working around hot ovens?	Yes No
Can you lift and carry up to 30 pounds (dough trays, sauce containers, product boxes)?	Yes No
Can you follow written recipes, portion charts, cleaning checklists, and food-safety instructions?	Yes No
Are you willing to wash dishes, clean work areas, take out trash, and help wherever needed during rush periods?	Yes No
Can you work evenings and weekends as scheduled?	Yes No

Do you have a valid driver license and can you provide proof after a conditional offer?	Yes No
Do you have access to a safe, reliable vehicle for delivery shifts?	Yes No
Can you provide proof of current auto insurance before driving for the restaurant?	Yes No
Can you meet company driving standards, including an acceptable motor vehicle record?	Yes No
Are you comfortable using GPS/delivery apps, handling cash, and communicating with customers professionally?	Yes No
Can you work evening and weekend delivery shifts?	Yes No

Do you have prior experience in a restaurant, fast casual, delivery, or pizza environment?	Yes No
Have you supervised, trained, or coached employees during a shift?	Yes No
Are you comfortable handling guest complaints and resolving employee issues during a shift?	Yes No
Can you open or close the restaurant, count drawers, complete checklists, and secure the store?	Yes No
Do you have experience with inventory, ordering, prep planning, labor control, or scheduling?	Yes No
Do you hold any food-safety certification?	Yes No

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