Regents Pizzeria - Application for Employment

Please fill out the form below and press SUBMIT to send it to Regents Pizzeria

Or download the the PDF VERSION and bring it in to our store.
4150 Regents Park Row #170, La Jolla, CA 92037.

All fields marked with a * are required:

Regents Pizzeria. Application for Employment Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.
Last Name*	Middle Initial
First Name
Date
Address
City	State     Zip
Telephone*
Email Address
Position applied for?
How did you hear of this opening?
When can you start?
Desired Wage?
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) Yes No
Are you looking for full-time employment?	Yes No
If no, what hours are you available?
Are you willing to work split shifts?	Yes No
Have you ever been convicted of a felony? (This will not necessarily affect your application.) Yes No
If yes, please describe conditions:
Education	High School	Year	Major	Degree
	College	Year	Major	Degree
	College	Year	Major	Degree
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
Employment History (Start with most recent employer)
Company Name
Address
Telephone
Date Started		Starting Wage		Starting Position
Date Ended		Ending Wage		Ending Position
Name of Supervisor
May we contact?	Yes No
Responsibilities
Reason for leaving
Company Name
Address
Telephone
Date Started		Starting Wage		Starting Position
Date Ended		Ending Wage		Ending Position
Name of Supervisor
May we contact?	Yes No
Responsibilities
Reason for leaving
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.