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Chick-N-Pizza Catering
129 Abbot Road
Buffalo, NY 14220
( 716) 823-2100
FAX (716) 823-2285


Chick-N-Pizza Catering Employment Application

Name:
Address:
City/State/Zip:
Phone:
In Emergency:
Social Security Num:
Yes
No
 
Are you over the age of 18?
Are you legally entitled to work in the United States?
Do you possess a valid Social Security Card?
Have you ever been employed with our company before?
Have you ever been convicted of a criminal offense? **
   
** If yes above, please give details:
   
Type of Employment: Full-Time   Part-Time
When will you be available for work?
Educational Background
(Check the highest level completed)
Secondary 9   10   11   12
College 1   2   3   4
Present/Previous Employment
1. Company Name:
Phone:
Address:
City/State/Zip:
Position:
Employed from:     to:
Reason for Leaving:
Last Wage:
2. Company Name:
Phone:
Address:
City/State/Zip:
Position:
Employed from:     to:
Reason for Leaving:
Last Wage:
3. Company Name:
Phone:
Address:
City/State/Zip:
Position:
Employed from:     to:
Reason for Leaving:
Last Wage:
Do you give authorization to verify and receive comments on your employment records?
Present Employer  Previous Employers
 
Personal References
Other than family members or previous employers
1. Name:
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2. Name:
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3. Name:
Phone:
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