Please fill out ALL sections that apply to you.

(If you fail to complete the sections that apply to you, the application will be automatically rejected. Duplicate applications will be rejected)

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* 1. Which LPC location are you applying to?

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* 2. Please enter your contact info:

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* 3. Are you entitiled to work in the United States?

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* 4. Highest level of education?

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* 5. Are you currently in school?

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* 6. If so, when are your classes?

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

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* 8. If you answered "Yes" above, please explain.

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

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* 10. How were you referred to Lost Pizza Co.

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* 11. What position/location you are applying for? 

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* 12. Military Service?

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* 13. Which Branch?

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* 14. Availability-
Are you currently employed?

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* 15. If so, where and when?

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* 16. Expected hourly rate?

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* 17. What days/shifts are you available to work at Lost Pizza Co?

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* 18. Date available to start?

Date

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* 19. Prior Work Experience-
List Employer's info:

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* 20. Job Title:

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* 21. Responsibilities:

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* 22. How long did you work here?

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* 23. Reason for leaving?

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* 24. Supervisor's contact info:

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* 25. May we contact this employer?

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* 26. Prior Work Experience-
List Employer's info:

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* 27. Job Title:

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* 28. Responsibilities:

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* 29. How long did you work here?

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* 30. Reason for leaving?

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* 31. Supervisor's contact info:

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* 32. May we contact this employer?

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* 33. 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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* 34. 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.

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