Lost Pizza

Which LPC location are you applying to? *

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Are you entitiled to work in the United States? *

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Highest level of education? *

Are you currently in school? *

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If so, when are your classes?

Have you been convicted of a felony or been incarcerated in connection with a crime in the past?

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If you answered "Yes" above, please explain.

List any special certifications or licenses that you have that apply to this job. (Serve-safe, etc.)

How were you referred to Lost Pizza Co.

What position/location you are applying for? *

Kitchen

Front of house

Either

Military Service?

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No

Which Branch?

Are you currently employed? *

Yes

No

If so, where and when?

Expected hourly rate?

Date available to start?

Prior Work Experience

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Job Title:

Responsibilities:

How long did you work here?

Reason for leaving?

Supervisor's contact info

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How long did you work here?

Reason for leaving?

Supervisor's contact info

Name

Email Address

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May we contact this employer?

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More prior work experience

Email resumes and other info to Jobs@lostpizza.com

Please list any other jobs that relate to this one:

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Disclaimer - By typing my name here, 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 may lead to my dismissal if hired. I also provide consent for employers to be contacted regarding my work records.

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