Employment Application

Contact Information

Date:    
Name:    
Address:    
City/State/Zip:    
Home Phone: Other Phone:
E-mail Address:    

Other Information

Are you 18 or older?  Yes No Are you a U.S. citizen?  Yes No
Have you ever been convicted of a crime?  Yes No    
Position(s) Desired: Date available to begin:
In which position would your skills be best used? Why?
Available for these shifts:
 Full Time (30-40 hours/week) Part Time (10-30 hours/week)
Please list any job-related skills you have. (Include any personality qualities, work experience, and interests that would be beneficial to your work here.)
Do you have other responsibilities that would shape your commitment to this job? (i.e. family responsibilities, or other jobs that would prevent you from working late at night, working weekends or holidays, etc. We are willing to work around other commitments; we just need to know what they are.)
Can you perform the essential functions required for the position you are applying for? (i.e. standing for long hours, lifting 50 lbs., etc.) -If no, please explain.

Educational Background

Please list your most recent schooling first, including high school, vocational school, and college/university.

School/Location Grade or # of years completed Major or field of study Degree or Diploma
 Yes No
 Yes No
 Yes No
 Yes No

Employment Experience

Please tell us about your previous jobs. List most recent employers first.




 Duties:

What did you like most and least about this job?
May we contact this employer?  Yes No
Supervisor’s name and title:
to
Reason for leaving:



Duties:

What did you like most and least about this job?
May we contact this employer?  Yes No
Supervisor’s name and title:
to
Reason for leaving:



Duties:

What did you like most and least about this job?
May we contact this employer?  Yes No
Supervisor’s name and title:
to
Reason for leaving:



Duties:

What did you like most and least about this job?
May we contact this employer?  Yes No
Supervisor’s name and title:
to
Reason for leaving:

References

Please list at least three references, preferably work or business related.

Name Relationship To You Phone Number

Attach Resume

I certify that all information provided in this application (and accompanying resume) is true. I understand that if any false information, omissions, or misrepresentations are discovered, my application will be rejected, and if I am employed, my employment may be terminated at any time.

By completing this application, I understand that I am not guaranteed employment at the Parker Pie Company. I also understand that the Parker Pie Company is an at-will employer. If hired, my employment can be terminated with or without cause at any time.

I have read and certify the above information

Just so we can get to know you better,
Please answer a few more questions.

Describe yourself.

What are your hopes and dreams? (Yes, it’s a big question, but everyone’s got to have goals.)

Why do you want to work here?

Why do you think you would make a good addition to our staff?

If you were a pizza, what would you be topped with and why?

Thank you for taking the time to fill this out.

-THE Parker Pie Co.

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Upcoming Events

Upcoming Events

Restaurant Hours

Closed Monday
Tuesday, Wednesday, Thursday & Sunday 11am-9pm
Friday & Saturday 11am-10pm
Back opens at 5 pm Tuesday through Friday, 11 am Saturday and Sunday
Last call at 11:30 pm

Beers On Tap

Thursday Music Night

Now in the Parker Pie Art Gallery

161 County Road
West Glover, VT 05875
802-525-3366

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