Online Application

Personal Information

• *First Name
• *Last Name
• *Address
• *City
• *State Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• *Zip Code
• *Main Contact #
• Alternate Contact #
• *Email Address
• *Are you 16 years of age or older? Yes No
• *Store Location Albuquerque - Academy & Wyoming Albuquerque - Coors & Central Albuquerque - Coors & Montaño Albuquerque - Cottonwood Albuquerque - Elizabeth & Central Albuquerque - Monroe & Central Albuquerque - Morris & Montgomery Albuquerque - Paseo & Wyoming Albuquerque - University & Gibson Bernalillo - Bernalillo Las Cruces - Las Cruces Los Lunas - Los Lunas Los Ranchos - 4th Street Lubbock - 82nd & Elgin Lubbock - University & 9th Rio Rancho - Rio Rancho Santa Fe - Santa Fe
• *Have you ever worked for Dion’s before? Yes No
• If so, when?
• *Have you ever filled out an application with Dion’s before? Yes No
• If so, when?
• Hobbies
• *What are your plans for the future?
• *Who referred you to apply at Dion’s?
• *What do you expect from a job at Dion’s?

Education

• *High School Name
• Year of Graduation
• GPA
• Extracurricular Activities
• College or University
• Number or Hours Enrolled
• Courses of Study

Availability

You must be able to work at least three shifts per week to be considered for employment. In order to be considered for night shifts, you must be able to work at least one closing shift during the week. We are flexible with schedules and this will just give us an idea of when you are able to work.

Please check all the shifts you are able to work:

• Day Shifts 8am - 2pm 10am - 4pm
• Night Shifts 4pm - 8pm 5pm - 9pm 8pm - 12am

Previous Employment

• Business Name
• Phone
• Location
• Job Title
• Starting Pay
• Ending Pay
• Responsibilities
• From
• To
• Reason for Leaving
• May we contact your previous supervisor for a reference? Yes No

Emergency Contact

• *Name
• *Phone
• *Address

The management of Dion’s Pizza will make decisions relating to the interpretation of this dress code. All employees are expected to show up for each shift in full compliance with the dress code.

I have read, understood, and upon employment agree to abide by conditions of employment as required by Dion’s Pizza. If I am hired and employed by Dion’s, I understand that my employment is “at will”. Meaning, either Dion’s or I can terminate the employment relationship at any time, for any reason, with or without cause. All the information that I provided on this application is true. I understand that I will be charged .50 cents a week for uniform rental if hired.

• *Electronic Signature Please agree to the terms
• *Date