Jim's Razorback PIZZA

JRP Enterprises, Inc.  

149 S. 40th St.  Springdale, AR 72756

479-725-1216

To help us evaluate your qualifications for employment  please fill out and submit the survey at:

http://www.traitset.com/course/course_entry.aspx?location

=3498&book=310&cgroup=-1&type= 

Use the short form below if you have at least 

3 years experience in the Pizza or fast food industry.

By completion of this form you indicate you are at least 18 years of age and are authorized to work in the USA  

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Please type your name, address and phone number:

Who referred you to JRP? Do you have friends who work at JRP? Have you applied or worked here before?

Please tell us the hours you are able and willing to work?

Would you be able to perform the following with or without any accommodations? Standing for Long Hours? Bending frequently Lifting over 50 pounds frequently? Working near hot ovens?

Do you have a valid driver's license? Which State? DL#

Have you ever been convicted of a felony? (such a conviction will not necessarily bar you from employment) If yes, please explain:

Please list High School, Technical school, College or University educational experience here:

Please list High School, Technical school, College or University educational experience here:

Please list your last employer along with dates of employment, supervisor and contact number. Please state reason for leaving:

Please list your second to last employer along with dates of employment, supervisor and contact number. Please state reason for leaving:

May we contact the employers listed above? If not, who do you wish us to not contact?

In case of emergency we should notify: Relationship: Home Phone: Business phone: