Lost Pizza

Which LPC location are you applying to? *

Please enter your contact info:

First Name *

Last Name *

City/Town *

State/Province *

ZIP/Postal Code

Email Address *

Phone Number *

Are you entitiled to work in the United States? *

Yes

No

Highest level of education? *

Are you currently in school? *

Yes

No

If so, when are your classes?

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

Yes

No

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?

Yes

No

Which Branch?

Are you currently employed? *

Yes

No

If so, where and when?

Expected hourly rate?

Date available to start?

Prior Work Experience

Company Name

City/Town

State/Province

Job Title:

Responsibilities:

How long did you work here?

Reason for leaving?

Supervisor's contact info

List Employer's info

Name

Email Address

Phone Number

May we contact this employer?

Yes

No

List Employer's info

Company Name

City/Town

State/Province

Job Title:

Responsibilities:

How long did you work here?

Reason for leaving?

Supervisor's contact info

Name

Phone Number

Email Address

May we contact this employer?

Yes

No

More prior work experience

Email resumes and other info to Jobs@lostpizza.com

Please list any other jobs that relate to this one:

E-Signature

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. YOU MUST INCLUDE A VALID PHONE NUMBER FOR YOUR APPLICATION TO BE ACCEPTED.

E-Signature

Date

Oxford

Oxford

Address

Phone

Hours

Reviews

Join Our Mailing List