Employment Application Are you over the age of 16? Yes No Thank you for your interest, Unfortunately you need to be 16 years or older in order to apply at Mamma Mia’s! Step 1 of 4 - Contact Information 25% Employment Application THIS APPLICATION WILL BE KEPT ON FILE FOR AT LEAST THIRTY DAYSFirst Name* Last Name* Preferred Name Email* * Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Mobile Phone Position Desired (1)* Position Desired (2) Desired Pay Rate Referred By Date Available* MM slash DD slash YYYY Preferred Work Location (Choose 1 Or More)* Carmela's Carver Hanover Kingston Marshfield Plymouth Pinehills Mia's Catering Three V Availability? Write the days and times you are available.*Have You Applied To Our Restaurants Before?* Yes No Have You Been Employed By Mamma Mia's And/Or Carmela's?** Yes No If Yes, Please Give Dates And Locations If Applicable: Military Status: Active Inactive Branch (Military) Are You Legally Authorized To Work In The United States?* Yes No Federal law requires every employer hiring an individual for employment in the United States to verify his or her identity and employment authorization through completion of Form I-9, Employment Eligibility Verification. If hired, you will be required to submit proof of your identity and legal authorization to work in the US and you will be required to complete an I-9 form as a condition of at-will employment. EDUCATION Please indicate education or training which you believe qualifies you for the position you are seeking.Have you received your High School Diploma or G.E.D.?* Yes No Expected Year of Graduation* School(s)* Have you received a College Degree?* Yes No Expected Year of Graduation* Major* School(s)* * City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Other Training or Degrees: School(s): Degree or Certificate Earned Volunteer ExperiencePlease ✓ if you have the following Certifications and/or Licenses: Alcohol Server Certification (T.I.P.S.) MA Allergen Certification ServSafe Food Protection Manager CPR/Choke Saver Crowd Manager Previous EmploymentCompany PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Job Title Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason For Leaving: May We Contact? Yes No Previous EmploymentCompany PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Job Title Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason For Leaving: May We Contact? Yes No Previous EmploymentCompany PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Job Title Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason For Leaving: May We Contact? Yes No REQUIRED NOTICE We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, religion, age, gender, national origin, sexual orientation, disability or any other legally protected status, as defined by law. “It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.” SIGNATURE Read carefully before signing: 1. I understand completion of this application does not imply that I will be employed by Mamma Mia’s and/or Carmela’s Restaurants and/or P & JV Management Corporation and/or their subsidiaries. 2. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or materially inaccurate information given in the application or interview may be cause for disqualification from employment or dismissal at any time during employment. 3. I authorize Mamma Mia’s and/or Carmela’s Restaurants and/or P & JV Management Corporation and/or their subsidiaries to conduct a background inquiry to verify the statements and information that I have provided in this application or other documentation that I provide in connection with this application and other areas that may include prior employment, consumer credit, motor vehicle history, and other reports as authorized by law. I authorize all previous employers or other persons who have knowledge of me, or my records, to release such information to Mamma Mia’s and/or Carmela’s Restaurants and/or P & JV Management Corporation and/or their subsidiaries. I hereby release any individual, business entity, agency and Mamma Mia’s and/or Carmela’s Restaurants and/or P & JV Management Corporation and/or their subsidiaries from all claims of liabilities of any kind that may arise from the disclosure of such information. 4. I understand and acknowledge that if I am hired I may be required, depending upon my position, to sign a non-compete, confidentiality, non-solicitation, and/or other employment agreements as a condition of my at-will employment. 5. I understand and acknowledge that all employees of Mamma Mia’s and/or Carmela’s Restaurants and/or P & JV Management Corporation and/or their subsidiaries are employees at will. If I am hired, I will be free to resign at any time. Likewise, Mamma Mia’s and/or Carmela’s and/or P & JV Management Corporation, will have the right to terminate my employment at any time, with or without any reason, or notice, regardless of the date of payment of my salary or wages. My completion of this application, or any other documents and/or communications is not intended to create, nor should such documents be construed as creating an express or implied contract of employment.SignatureMY SIGNATURE CERTIFIES I HAVE READ, UNDERSTAND, AND AGREE WITH THE ABOVE STATEMENTS:Date MM slash DD slash YYYY First Name: Last Name:
