Employment Application
Today's Date:
Full Name: SS#: Street Address: City: State: Zip: Phone with area code (where you can most easily be reached): Are you under 18? Yes If Yes, your Date of Birth:
Store(s) Applying For: Columbus, Georgia Area 5870 Veterans Parkway, Columbus, Georgia 3949 Victory Drive, Columbus, Georgia 4801-A Buena Vista Road, Columbus, Georgia 6301 Milgen Road, Columbus, Georgia 2033 Highway 280 North, Phenix City, Alabama 3922-B Highway 80 West, Phenix City, Alabama 373 Fob James Parkway, Valley, Alabama 203 Commerce Avenue, LaGrange, Georgia
Augusta, Georgia Area 1827 Walton Way, Augusta, Georgia 2416 Windsor Spring Road, Augusta, Georgia 403-B Fury's Ferry Road, Martinez, Georgia 112 North Belair Road, Evans, Georgia 105 Tamil Drive, Aiken, South Carolina 194 University Pkwy, Aiken, South Carolina 217-C Edgefield Road, North Augusta, South Carolina
Montgomery, Alabama Area 2545 Madison Ave., Montgomery, Alabama 45 N. Burbank Drive, Montgomery, Alabama 3015 Carter Hill Road, Montgomery, Alabama 8149 Vaughn Road, Montgomery, Alabama 115 S. Memorial Drive, Prattville, Alabama 2064 Cherokee Road, Alexander City, Alabama
Position(s) Applying For:
Please review the duties of this position as outlined in the job preview (click on the position title above). Can you perform the essential functions of this job? Yes
Availability:
When can you start?
Are you legally entitled to work in the United States? Yes Have you worked at any Papa John's before? Yes If Yes, please give dates and Location: How did you learn about this position? Do you have a relative working at Papa John's? Yes If so, what restaurant?
Prior Work Experience (Please list most recent employment first):
Employer: Phone: Address: Position (duties): Immediate Supervisor: May we contact, if still employed? Yes Starting Pay: Ending Pay: Dates: to Reason for Leaving:
Have you EVER been convicted of, or pleaded guilty or no contest to a felony offense? Yes If Yes, please provide: Date of Birth: Date of Conviction: Country/State in which felony occurred: Facts surrounding the conviction:
Education:
Highest Level Attended: Years Completed: Diploma/Degree/Major:
List Special Skills/Training/Licenses or Certifications:
Professional References (Not Relatives or Friends):
Name: Relationship: Phone: Name: Relationship: Phone: Name: Relationship: Phone:
Delivery Driver Applicants Only:
If you are employed as a delivery driver by Papa John’s then you are required to maintain personal Auto Liability insurance at the mandatory state liability limits for the state in which you will be driving. You shall also be solely responsible for maintaining at your cost, such comprehensive and auto collision coverage as you deem necessary to cover your vehicle. We strongly recommend you make appropriate inquiries to assure that such coverage will be effective during the delivery of Papa John’s products. Papa John’s is not responsible for, and you assume all risk of, any loss, theft, vandalism or property damage to your vehicle and contents while being used in connection with your employment with Papa John’s. You will be required to provide Papa John’s with a valid copy of your insurance policy or Declaration Page and proof of payment of due premium when you are hired and again upon each renewal. We reserve the right, and you authorize Papa John’s or its agents, to contact your insurance agent and/or carrier either verbally or in writing, or both, to confirm the type and amount of your coverages and the date through which premiums have been paid. In addition, your Motor Vehicle Report (MVR) will be checked, at the time of application and periodically thereafter, to verify your driving eligibility, and this serves as our authorization to do so. If you are applying for a delivery driver position, we will need your date of birth to run an MVR Report. This information will not be used for any improper purpose. The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age for individuals who are at least 40 years of age.
Date of Birth: Insurance Company Name: Policy Exp. Date: Driver's License Number: State: Date Issued: Have you had at least six months driving experience in the US? Yes Have you ever been convicted of a crime involving a motor vehicle, including vehicular homicide or assault? Yes In the last 5 years, have you ever received a violation for DUI or open container/chemical test failure/possession of a controlled substance? Yes Has your driver's license ever been suspended or revoked? Yes If Yes, please explain:
Vehicles Which Will Be Used on the Job: Make: Model: Year: License #: State: Make: Model: Year: License #: State:
CERTIFICATION: Papa John’s is an Equal Opportunity Employer. Any person applying for a position with Papa John’s will be considered for the position for which he/she has applied without regard to race, religion, sex, age, national origin, gender, marital status, pregnancy or disability.
I certify that all statements made in this application are true and complete and authorize Papa John’s to investigate all statements made from all prior employers, references and law enforcement agencies. I hereby release all those persons, employers, references, agencies and Papa John’s from any and all liability arising from their giving or receiving information about my employment history, qualifications or criminal record. I further authorize Papa John’s to conduct whatever background checks or to obtain whatever consumer reports are necessary or appropriate to either verify information provided by me on this application or in interviews relating to prospective employment, or to verify any material change in my background at any time during my employment. In the event that my employment is rejected or terminated by Papa John’s based on a report received from such a background check, I understand I will receive a full copy of such report and a written description of my rights, and will have an opportunity to dispute the accuracy of the information included in such report.
I understand that any false answers or statements or misrepresentations by omission made by me as part of my application will be sufficient for rejection of my application or for my immediate discharge should one be discovered after I am employed.
I understand that nothing in this employment application, in Papa John’s statements of personnel policies or in my communication with any team member or official is intended to create an employment contract between Papa John’s and me, and that my employment with the company is entered into voluntarily, and that I may resign at any time. Similarly, my employment may be terminated with or without cause at any time without prior notice.
MARYLAND APPLICANTS ONLY: Under Maryland law, an employer may not require as a condition of employment that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.
I hereby acknowledge that I have read and understand the preceding statement by entering my name below.
Signature: Date:
