Apply for Racine South-Team member

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Racine South-Team member
ID:	1004
Location:	Racine
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

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Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Toppers Application

* Are you over the Age of 16?

	Yes
	No

* Have you ever applied at Toppers Pizza before?

	Yes
	No

If you have applied at Toppers Pizza before, when?

* Do you Personally know any Toppers Rockstars?

	Yes
	No

If yes to knowing a Toppers Rockstar, who?

* Have you ever worked at Toppers Pizza before?

	Yes
	No

If you have worked at Toppers Pizza before please tells us where, when, and why you left.

* Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility.)

	Yes
	No

* If asked to Join our team when you could start?

* How many hours per work are you looking to work?

* Please select each day that you are available to work. (below you will be able to be more with times each day).

* Our hours of operation are from 9am-5am everyday (open from 10:30am-3:30am everyday). For each day selected above please indicate what times you would be available to work. If you are available all times please just put "open availability"

* Have you ever had our delicious food before?

	Yes
	No

If you have had Toppers Pizza before, how was your experience?

* What unique qualifications, skills, experience, or interests will you bring to the team?

* Tell us about a time when you received or provided killer customer service.

* Why are you ready to work for Toppers (aka the BEST PIZZA COMPANY IN THE WORLD!!!)?

* Why are you the Rockstar we should hire?

* You may be asked to provide former employer information. Will you be able to provide this upon request?

	Yes
	No

If you are unable to provide previous employment information please explain.

* If applying for a driver position please provide your driver's license number, state the license is from, expiration date. If not applying for driver please put "Not Applicable" in the box.

* Have you had your license for at least 2 years uninterrupted?

	Yes
	No

Please list any traffic violations (except parking tickets) including the date, violation,and penalty. This information will be verified by the State Motor Vehicle Records Office.

Please select the number of years of high school you completed.

	1
	2
	3
	4

* Did you receive your diploma or G.E.D.?

	Yes
	No

* College and or vocational school years completed?

* Have you completed any special courses, seminars, and/or training that would enable you to perform the position or which you are applying?

	Yes
	No

Please describe if you answered yes above.

Please list any academic honors, extracurricular activities,offices held, etc. in high school or college.

* Do you have any secret powers we should know about?

* You may be asked to provide professional references. Will you be able to do so?

	Yes
	No

If you are unable to provide professional references please explain.

* Please Read Carefully Before Selecting.

Toppers Pizza is an equal opportunity employer. Toppers Pizza does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Toppers Pizza to hire me. If I am hired, I understand that either Toppers Pizza or I can terminate my employment at any time and for any reason, with our without cause and without prior notice. I understand that no representative of Toppers Pizza has the authority to make any assurance to the contrary.

I attest by selecting yes that I have given to Toppers Pizza true and complete information on this application. No requested information has been concealed. I authorize Toppers Pizza to contact references provided for employment reference checks. If any information I have provided in untrue, of if I have concealed material information,I understand that this will constitute cause for the denial of employment or immediate dismissal.

	Yes
	No

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	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
	Black or African American (Not Hispanic or Latino) A person having origins in any of the Black racial groups of Africa
	Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
	Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
	White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races
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	Individual with a Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
	Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
	Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
	War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
	Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
	Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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