Required fields are marked with an asterisk (*) .
Select the position you would like to apply for:
First choice*:
Food Server
Bartender
Host
Line Cook
Dish
Second choice*:
- None -
Food Server
Bartender
Host
Line Cook
Dish
Wage Desired*:
per hour
annual salary
Referred by*:
- Choose -
Ad in paper
Internet posting
Friend or relative in the company
Regular guest
Walk in
Word of mouth
Store signage
Other
Are you seeking full time
or part time?*
Full Time
Part Time
Note any days you are available*:
Personal Information
First Name*:
Last Name*:
Email*:
Phone*:
(
)
-
-
Address*:
City, State, Zip*:
How long have you been at present address (years)?*:
Social Security #:
-
-
Are you 18 years or older?*
Yes
No
Have you ever worked at the Crush Pizza Restaurants before?*
Yes
No
Have you been convicted of a felony within the last 7 years?*
Yes
No
If yes, please explain:
(A conviction will not necessarily be a bar to employment, and factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into consideration.)
If hired, can you provide proof that you are eligible to work in the US?*
Yes
No
Employment - please list 3 of your most recent jobs. Start with the most recent.
Company*:
Postion*:
Dates (mm/dd/yyyy)*:
/
/
to
/
/
Supervisor*:
City, State*:
Phone Number*:
(
)
-
Rate of Pay*:
per hour
annual salary
Reason for leaving*:
May we contact your former employer?*
Yes
No
Company:
Postion:
Dates (mm/dd/yyyy):
/
/
to
/
/
Supervisor:
City, State:
Phone Number:
(
)
-
Rate of Pay:
per hour
annual salary
Reason for leaving:
May we contact your former employer?
Yes
No
Company:
Postion:
Dates (mm/dd/yyyy):
/
/
to
/
/
Supervisor:
City, State:
Phone Number:
(
)
-
Rate of Pay:
per hour
annual salary
Reason for leaving:
May we contact your former employer?
Yes
No
Education:
High School:
Graduated:
Yes
No
College:
Graduated:
Yes
No
Other:
Graduated:
Yes
No
Include any experience that may be applicable to the job you are applying for:
Application Sign Off:
Crush Pizza and our team members utilize an Open Door policy and Alternative Dispute Resolution (ADR) to settle any and all employment disputes/conflicts. As a team member, you are required to utilize this process if any dispute/conflict should arise. Any controversy or claim arising out of or relating to 1) this application, or the breach thereof; 2) if hired, my compensation, employment or termination of employment, (including but limited to any statutory claims such as discrimination), shall be settled by mediation and/or arbitration administered by the American Arbitration Association. I understand that the AAA administers mediation/arbitration under its National Rules for the Resolution of Employment Disputes, and judgement upon the award rendered by the mediator(s) or arbitrators(s) may be entered by any court having jurisdiction thereof.
The Age Discrimination Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age. I certify that the facts contained in this application are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision and release all parties from all liability. In the event of employment, I understand that false statements on this application shall be grounds for dismissal. I understand and agree that if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. I also understand that I am required to abide by all rules and regulations of Crush Pizza.
By clicking this box, I agree to the terms listed above.*