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Delivery Driver
Employment Application
State
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Location
Algona
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Sigourney
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Sioux City
Spencer
Spirit Lake
Storm Lake
Story City
Support Center
Urbandale
Vinton
Washington
Waukee
Waverly
Winterset
Position
Assistant General Manager
Delivery Driver
General Manager
Guest Services Manager
Kitchen Manager
Team Member - Back of House
Team Member - Front of House
First Name
*
Middle Name
Last Name
*
Street Address
*
Apartment Number
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Name of high school attended
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Name of teacher/counselor to contact as a reference
*
Department
Name of college attended
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What position are you applying for?
*
Type of position you are seeking:
Full - Time
Part - Time
Total hours available per week
*
Date available to start work
*
Please list the times you are available to work each day (e.g. "9:00am-3:30pm" or "after 3:30pm"):
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you 16 years old or older?:
Yes
No
Are you 18 years old or older?:
Yes
No
Are you legally able to be employed in the U.S?:
Yes
No
Are you on layoff and subject to recall?:
Yes
No
Have you ever worked at Pizza Ranch before?:
Yes
No
Still currently employed?:
Yes
No
Start Date
End Date
Location
Reason for Leaving and additional notes
Are you currently bounded by a non-competition, confidentiality, or Trade Secret Agreement?
Yes
No
(If yes, please explain)
Explain here
Have you ever been discharged or asked to resign from job?
Yes
No
(If yes, please explain)
Explain here
Have you ever been convicted or plead guilty to a felony crime other than a minor traffic violation?
Yes
No
(If yes, please explain)
Explain here
List below your most recent employers, beginning with most recent one
Company
Address
Job Title
Supervisor
Phone Number
Still currently employed?:
Yes
No
Date Started
Date Left
Salary or Wage: Start
Hourly
Weekly
Yearly
Salary or Wage: End
Hourly
Weekly
Yearly
Reason for Leaving
Company
Address
Job Title
Supervisor
Phone Number
Still currently employed?:
Yes
No
Date Started
Date Left
Salary or Wage: Start
Hourly
Weekly
Yearly
Salary or Wage: End
Hourly
Weekly
Yearly
Reason for Leaving
References (Do not list immediate family members)
Name
Phone Number
Years Known
Relationship
Name
Phone Number
Years Known
Relationship
Name
Phone Number
Years Known
Relationship
How did you hear about the job opening?
*
Website
Visiting Existing Pizza Ranch®
Newspaper Ad
Referral
(Please Specify)
Other (Please Specify)
The position you are applying for requires continuous walking, lifting, standing, bending, and other movement as well as verbal communication with co-workers and customers. Do you have the ability to perform the following essential functions of the job with or without reasonable accommodations?
Stand and/or walk for up to 6-8 hours
Yes
No
Lift 40 pounds
Yes
No
Twist upper torso 90 degrees
Yes
No
Twist head/neck 90 degrees
Yes
No
Minimum Age Requirement for a delivery driver position is 18.
Must have a driver’s license valid under the laws of the state(s) where the team member works, acceptable motor vehicle record, proof of insurance, and satisfactory vehicle
Please answer the following questions if you are applying for a delivery driver position:
Do you have a valid driver's license?
Yes
No
(if yes)
Driver's License Number
Date of Issue
Have you been convicted for or pled guilty to any traffic-related offense within the past five years?
Yes
No
Have you had your driver's license suspended or revoked, or had your driving privileges modified by a court of law?
Yes
No
Please list all states from which you hold or have held a driver's license:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Thank you for your patience while your application is being successfully submitted.