Personal Information

NAME(required)

ADDRESS(required)

CITY(required)

STATE(required)

ZIP / POSTAL CODE(required)

TELEPHONE (required)

Have you ever worked for IL PRIMO PIZZA & WINGS before?(required)

If yes, where/when?

What position are you applying for?(required)

Are you 16 years of age of over? (Proof of age or a work permit may be required)(required)

IN CASE OF EMERGENCY NOTIFY:

NAME(required)

TELEPHONE(required)

ADDRESS(required)

CITY(required)

STATE(required)

ZIP / POSTAL CODE(required)

AVAILABILITY:

Are you legally able to be employed in this country? (If hired, by law we will require verification)(required)

What type of position are you seeking?(required)

Are you able to meet the attendance requirements of the position?(required)

Have you ever been convicted of a felony within the last 7 years?(required)

(Conviction will not necessarily disqualify an applicant from employment)

Sunday HOURS From

Sunday AVAILABLE To

Monday HOURS From

Monday AVAILABLE To

Tuesday HOURS From

Tuesday AVAILABLE To

Wednesday HOURS From

Wednesday AVAILABLE To

Thursday HOURS From

Thursday AVAILABLE To

Friday HOURS From

Friday AVAILABLE To

Saturday HOURS From

Saturday AVAILABLE To

Total hours available per week(required)

Date available to start work (required)

Preferred rate of pay $(required)

SCHOOL MOST RECENTLY ATTENDED:

NAME (required)

ADDRESS (required)

CITY(required)

STATE(required)

TELEPHONE(required)

TEACHER OR COUNSELOR(required)

LAST GRADE COMPLETED(required)

GRADE AVERAGE(required)

GRADUATED?(required)

NOW ENROLLED?(required)

Sports or activities(required)

REFERENCES:

(Please do not use family members)

NAME(required)

ADDRESS(required)

CITY(required)

STATE(required)

TELEPHONE (required)

Years Known(required)

MOST RECENT EMPLOYMENT:

COMPANY(required)

ADDRESS(required)

CITY(required)

STATE(required)

TELEPHONE (required)

POSITION(required)

SUPERVISOR(required)

Dates worked From(required)

To(required)

WAGE(required)

Reason for leaving?(required)

Do we have your permission to contact your current employer?(required)

If NO, please explain:

HOW MANY DAYS OF WORK HAVE YOU MISSED IN THE LAST 2 YEARS DUE TO REASONS OTHER THAN PAID HOLIDAYS, VACATION, and OR CIVIC OBLIGATIONS (Such as jury duty?) Year(required)

Number of days(required)

WE ARE AN EQUAL OPPORTUNITY EMPLOYER Please complete reverse side

PLE ASE IDENTIFY ANY POTENTIAL LIMITATIONS REGARDING YOUR METHOD OF TRANSPORTATION TO AND FROM WORK:(required)

NAME ANY FRIENDS OR INDIVIDUALS YOU KNOW WHO ARE PR ESENTLY EMPLOYED BY IL PRIMO PIZZA & WINGS:(required)

EMPLOYMENT TEST

(No calculators Please)

PART I

.98 10.00 For the following questions, state your answers in terms of bills and coins. .67 - 3.84 For example, $6.39 would be 6 dollar bills, 1 quarter, 1 dime, and 4 pennies 3.25 +4.67 1. If the customer order came to $12.48 and she gave you a $20.00 bill, what is her change? 35.25 - 33.08 2. If the customer order came to $8.20 and he gave you a $23.25 bill, what is his change?

PART II

A. A customer complains that he was short changed by you receiving only $0.13 change from $2.00 instead of $0.31, what would you do?(required)

B. Which do you consid er more important as far as a restaurant is concerned – courteous, prompt service or a quality product?(required)

C. What do you consider to be the most important qualifications of a IL PRIMO PIZZA & WINGS employee?(required)

D. You are working alone and your shift is due to be ove r at 4 P.M. The individual who is scheduled to begin working at 4 P.M. does not show up, what do you do now?(required)

The Secretary of Health and Human Services has determined that diseases, including Hepatitus A, typhoid fever (Salmonella typ hi), shigellosis (Shigella spp.), and E coli (Escherchia coli 0157:H7) may prevent you from serving food or handling food equipment in a sanitary or healthy fashion. An essential function of this job involves handling and serving food, food service equipment and utensils i n a sanitary and healthy fashion. Is there any reason why you cannot perform the essential functions of this job?(required)

If yes, explain(required)

I CERTIFY THAT I HAVE READ AND FULLY COMPLETED EVERY PAGE OF THIS APPLICATION AND THAT THE INFORMATION CONTAINED HEREIN IS CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY OMISSION OR FALSE INFORMATION IS GROUNDS FOR DISMISSAL. I AUTHORIZE THE REFERENCES LISTED ON THIS APPLICATION TO GIVE ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND PERTINENT INFORMATION THEY MAY HAVE, PERSONAL AND OTHERWISE. I UNDERSTAND THAT AS A PART OF THE PROCEDURE FOR MY EMPLOYMENT APPLICATION AN INVESTIGATIVE CONSUMER REPORT MAY BE MADE CONCERNING MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I ALSO ACKNOWLEDGE THAT IF I RECEIVE THE JOB I AM ON A 90 DAY PROBATION PERIOD IN WHICH CAN BE TERMINATED AT ANY TIME WITHOUT AN EXCUSE.

Are you human?(required)

This field should be left blank