Employment Application for 22nd Street Pizza and Pipeline

Personal Information


Location *
Shifts you are available (check all that you can work):
Have you ever worked for us before? *
Are you at least 18 years old? *
If under 18, hire is subject to verification that you are of minimum legal age.
If hired, can you present evidence that you have the legal right to work in the US? *
Are you able to perform the essential functions of the job for which you are applying with or without reasonable accomodation? *
Note: We comply with ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform the essential functions.

Education History


Office Skills
Computer Skills

Previous Experience

List your previous employers, starting with the most recent
Employer 1
May we contact? *
Employer 2
May we contact? *
Employer 3
May we contact? *

Business References

List three references who are not relatives or personal friends
Reference 1
Reference 2
Reference 3

Military Service


Before sending your application, please take a moment to make sure you have completed all of the questions. Failure to complete all of the questions may delay or prevent the processing of your application. By pressing the button below you are stating that you have read and understand the foregoing and agree unconditionally to the foregoing:

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the company's designated representative.

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the Company I am entitled to copies of any such public records obtained by the Company. If I am not hired as a result of such information, I am entitled to a copy of any such records.