Apply Now Jalapenos Pizza

Full Name *

Date of birth *

MM/DD/YYYY

YYYY

Address *

Phone number *

(XXX)-XXX-XXXX

Do you speak English or Spanish? *

English

Spanish

English & Spanish (both)

Marital Status *

Single

Married

Separated

Divorced

Widowed

Position applied for *

Driver

Cashier

Cook

Type of employment *

Full-time

Part-time

Temporary

Seasonal

In case of applying for Driver, what model is your car? *

Do you own a GPS or Smartphone? *

Yes

Both

Are you in school or have another job? *

Yes

Are you entitled to work in the United States?

Yes

Clear selection

Have you ever been convicted of, or pleaded guilty or no contest to a felony offense? *

Yes

Prior Work Experience

(Please list most recent employment)

Would this be your first job? *

(If yes, click submit. If no, continue)

Yes

Employer:

Address :

Position:

Duties:

Phone:

Immediate supervisor:

Can we contact?

Yes

Clear selection

Starting pay:

Ending pay

Reason for leaving

Submit

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