Cloverleaf Pizza USA

Job Application

Location:

Position:

Full/Part Time:

Available to Start:

Personal Information

Full Name

Street Address

City

State Zip

Phone Number

Email Address

Best Time to Reach

How did you hear about this position?

Are you 18 or older?
YesNo

Birthdate

Are you entitiled to work in the United States?
YesNo

Do you have a valid Driver's License?
YesNo

Have you ever been convicted of a Felony or been incarcerated in connection with a Felony in the last seven years?
YesNo

If yes, explain

Have you ever served in the Military?
YesNo

If yes, what branch?

Work Experience

Current/Last Employer

Employer Name

Address

Phone

Supervisor Name

Position

Dates of Employment
from to

Hourly Rate of Pay

Reason for Leaving

May we Contact

YesNo

Prior Employer

Employer Name

Address

Phone

Supervisor Name

Position

Dates of Employment
from to

Hourly Rate of Pay

Reason for Leaving

May we Contact

YesNo

Prior Employer

Employer Name

Address

Phone

Supervisor Name

Position

Dates of Employment
from to

Hourly Rate of Pay

Reason for Leaving

May we Contact

YesNo

Education

High School

Name/Location

Last Complete Year:

Degree:

Major

Applicable Skills

College

Name/Location

Last Complete Year:

Degree:

Major

Applicable Skills

Trade School

Name/Location

Last Complete Year:

Degree:

Major

Applicable Skills

Other

Name/Location

Last Complete Year:

Degree:

Major

Applicable Skills

Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

Signature:

Date:

During the course of my employment with Cloverleaf Pizza, I may be exposed to confidential information concerning Cloverleaf Pizza and its business operations. Therefore, during and after my employment with Cloverleaf Pizza, I am prohibited from, directly or indirectly, disclosing, furnishing, or making accessible to any person, firm, corporation, or other entity, any confidential information obtained while employed by Cloverleaf Pizza.

I understand and agree that due to the highly competitive nature of the business, all employees, as a condition of their employment, are prohibited from competing with or against Cloverleaf Pizza in any business or enterprise whatsoever during employment and following termination of employment, which includes, but is not limited to, owning, managing, or operating any business or enterprise that may compete against any business or activity engaged in by Cloverleaf Pizza.

I agree that as a condition of employment I will sign an additional Confidentiality, Non-Competition, and Non-Solicitation Agreement which does not replace, but rather enhances this acknowledgment.

Employment at Cloverleaf is at-will basis, unless contracted otherwise.

 I agree to the Terms Conditions above.