Employment Application - Oakland and Berkeley First Name*Last Name*Which location are you applying for?* Oakland (College Avenue) Oakland (Grand Avenue- Opening Summer 2019) Berkeley (Solano Avenue) San Ramon Pleasant Hill Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Alternate Phone Number (if applicable)Email* Enter Email Confirm Email Applying for:*KitchenDining RoomPreferred Start Date* If hired, can you provide verification of your legal right to work in the United States?YesNoIf hired, do you have reliable transportation to get to and from work?YesNoHave you ever applied to this company before?*YesNoWhen did you apply to Zachary's?How did you hear about this job?*Availability* Sunday: 9am-4pm Sunday: 4pm-Close Monday: 9am-4pm Monday: 4pm-Close Tuesday: 9am-4pm Tuesday: 4pm-Close Wednesday: 9am-4pm Wednesday: 4pm-Close Thursday: 9am-4pm Thursday: 4pm-Close Friday: 9am-4pm Friday: 4pm-Close Saturday: 9am-4pm Saturday: 4pm-Close Please indicate the hours you are available to work. Most shifts are between four and six hours. If you are only available to work during a portion of the hours mentioned above, please explain your availability in the next section. After roughly one year of employment, some kitchen shifts start as early as 6am.Please use this area to provide any other information about your availabilty that you would like Zachary's to know.How many shifts are you interested in working each week (3 minimum to 5 maximum)?What type of work are you applying for?SummerPart TimeFull TimeTemporaryIf hired, how long do you anticipate working for Zachary's?*Do you foresee any changes to your availability in the next year?*Do you have any previous commitments or engagements (vacations, weddings, etc...?)Are you willing to work at more than one location?YesNoWhich other locations?Employment History*Company Name and LocationDates of EmploymentPosition and DutiesSupervisor Name and Contact InformationReason for Leaving Click the "+" button to add more rows.Are you currently employed?YesNoMay we contact your current employer?YesNoHave you ever been dismissed or forced to resign from employment?YesNoIf you answered yes to the previous question, please explain.Education: High SchoolName and LocationNumber of Years CompletedDid you graduate or are you in school now? Education: CollegeName and LocationNumber of Years CompletedDid you graduate or are you in school now?What was/is your major? Do you have any other information to share about your education (vocational schools, other colleges, educational certificates, etc.)Signature of Certification*All persons shall have equal employment opportunities with Zachary's Chicago Pizza, Inc. ("Zachary's Pizza") regardless of race, color, creed, religion, national origin, ancestry, sex, marital status, sexual orientation, disability, age and any other legally protected class and within the framework of federal law regarding age discrimination, employment of the handicapped and Vietnam era veterans. Employment shall be based solely on the Company's need and the individual's qualifications. I certify that I have completed this application and the statements I have made in this application are true and complete. I authorize investigation of all statements contained in this application which Zachary's Pizza may deem relevant to my employment and authorize my previous employers or other persons having information concerning my records or me to report such information to Zachary's Pizza. I hereby release Zachary's Pizza, my former employer or other persons who may provide information from any liability as a result of providing such information. I understand and agree that if it is subsequently discovered that the information is untrue or that I have failed to disclose a material fact, any offer of employmeent made to me by Zachary's Pizza may be immediately withdrawn or if I am already employed by Zachary's Pizza, I may be subject to immediate dismissal at the option of Zachary's Chicago Pizza. In such event, the withdrawal of any offer of employment made to me or the termination of employment shall be without any obligation or liability to me by Zachary's Pizza, other than for wages at the rate agreed upon for work I have actually performed for Zachary's Pizza. If I become employed, in consideration of my employment, I understand that I must comply with the rules, regulations, and policies and procedures of the the company. I am aware of and understand the physical requirements of the job and certify that I can and will perform these requirements in a safe manner, with or without accommodation. In accordance with the Immigration and Control Act of 1986 Zachary's Pizza will only hire United States citizens and aliens lawfully authorized to work in the United States. I understand that I will be required to complete the designated employment verification I-9 Form as a condition of employment. I understand that I may be required to undergo drug testing and/or a background check and that my employment is contingent upon these results. I will be advised if this is required and complete the necessary authorizations. I understand that I am not obligated to disclose sealed or expunged records of conviction or arrest, nor may Zachary's Pizza ask me if I have had records sealed or expunged. I understand and agree that if I am employed as a result of this application, my employment will be at-will, which I understand means that I will not be employed for any definite period of time and that my employment may be terminated at any time. At-will employment may only be modified by a written agreement signed by an Officer of the Company. Please type your name in the "Certification" space above. This iframe contains the logic required to handle Ajax powered Gravity Forms.