Jimmy's Pizza - New London

Click here for a PDF printable version of the application form.

LOCATION:
Which location are you applying at?:
PERSONAL INFO:
First Name:
Middle Name:
Last Name:
Email address:
Address:
City:
State:	Zip:
Phone:
Soc Sec#:
Are you 18 or older?:
Do you have transportation?:
Currently employed?:
Date you can start:
Desired Position:
Desired pay rate/salary:
Hours/days available:
Desired hours per week:
Have you worked for a Jimmy's Pizza before?:

If yes, please list dates, location, supervisor and reason for leaving:

EDUCATION:
High School: School name, city and grade completed:

Graduation Date:
Current College: School name, city and grade completed:

Graduation Date:
School Achievements/Awards:

OTHER:
List any activities, hobbies or interests outside of work:

DRIVER APPLICANTS: You must meet our Safe Driver Policy. Your MVR will be run prior to hiring and every 6 months.
Driver's License #:
License State:
License Expiration:

Insurance company:
Policy #:
Policy effective dates:
Liability amount:
EMPLOYMENT HISTORY: List 2 most recent positions held starting with most with recent employer first:
Most recent employer:
Employer name:
Start date:	End date:
Starting wage:	Ending wage:
Reason for leaving:
Type of business:
Position held:
Eligible for rehire?:
Supervisor name:
Employer phone:
May we contact?:
Previous employer:
Employer name:
Start date:	End date:
Starting wage:	Ending wage:
Reason for leaving:
Type of business:
Position held:
Eligible for rehire?:
Supervisor name:
Employer phone:
May we contact?:
Please be sure you have filled out the application completely in order to ensure timely processing.
For spam control purposes, type the following characters in the box below: 36985