All rights reserved Kazoopy's Pizza & Grinders 2016.  Website designed by Front Door Promotions.
Application for Employment
PRE-EMPLOYMENT QUESTIONAIRE                EQUAL OPPORTUNITY EMPLOYER
DATE
NAME
PHONE
ADDRESS
CITY
STATE
ZIP
POSITION DESIRED
DATE YOU CAN START
PAY RATE DESIRED
ARE YOU EMPLOYED NOW?
MAY WE CONTACT YOUR 
PRESENT EMPLOYER?
ARE YOU LEGALLY AUTHORIZED
TO WORK IN THE US? 
EDUCATION HISTORY
HIGH SCHOOL
COLLEGE
TRADE OR BUSINESS SCHOOL
NAME & LOCATION 
YEARS
ATTENDED
DID YOU
GRADUATE?
SUBJECTS STUDIED
GENERAL INFORMATION
SPECIAL TRAINING, CERTIFICATIONS, LICENSES
SPECIAL SKILLS
MILITARY SERVICE RECORD
HAVE YOU EVER SERVED IN 
THE U.S. ARMED FORCES?
BRANCH OF SERVICE
DISCHARGE DATE
RANK
FORMER EMPLOYERS
(List below last three employers, starting with most recent)
NAME OF PRESENT OR LAST EMPLOYER
ADDRESS
CITY
STATE
ZIP
STARTING DATE
LEAVING DATE
JOB TITLE
STARTING PAY
FINAL PAY
MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR
TITLE
PHONE
DESCRIPTION OF WORK
REASON FOR LEAVING
NAME OF PREEVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP
STARTING DATE
LEAVING DATE
JOB TITLE
STARTING PAY
FINAL PAY
MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR
TITLE
PHONE
DESCRIPTION OF WORK
REASON FOR LEAVING
NAME OF PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP
STARTING DATE
LEAVING DATE
JOB TITLE
STARTING PAY
FINAL PAY
MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR
TITLE
PHONE
DESCRIPTION OF WORK
REASON FOR LEAVING
REFERENCES
NAME
ADDRESS
BUSINESS
PHONE
NOTES
1908 W. Main St. - Kalamazoo, MI
Monday - Thursday 11am-9pm
Friday-Saturday 11am-10pm
Sunday 4pm-8pm
269-775-1100
Monday - Saturday 11am-9pm
Sunday 4pm-8pm
269-375-0120
8441 M-43 (W. Main St) - Oshtemo, MI