Step 1 of 4 25% Select a Store South Side Location Gibsonia Location Cranberry Location McCandless Location Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Address Street Address Apt/Suite City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneMessage PhoneEmail Position Desired?Hourly Rate/Salary Desired?Date You Can Start?Hours AvailablePosition Availability RequestFull TimePart TimeTemporaryPermanentAre you able to peform the essential job functions of the position you are applying with or without reasonable accommodations?YesNoOtherIf hired, will you be able to work overtime?YesNoOtherAre you at least 18 years of age?YesNoIf under 18, do you have a work permit?YesNoThird ChoiceHave you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by court? A yes response does not automatically disqualify your application. If yes, please explain.YesNo High SchoolHigh School AddressMajor StudiesDegree, Diploma, License or Certificate (list type and date)Select all that applyVocation/Business/OtherAttended College/UniversitySome CollegeCollege DiplomaTechnical CollegeExplain College Education Other Special Knowledge, Skills otQualifications (list any construction or manufacturing equipment, office skills, technical equipment or training)Military Service (list dates, ranks and training) Most Recent EmployerMost Recent Employer NameEmployer AddessSupervisor’s NameSupervisor’s PhoneIs this your current employer?YesNoMay we contact your current employer for references??YesNoEmployed FromEmployed ToJob TitleStarting SalaryEnding SalaryJob Duties and ResponsibilitiesReason for LeavingNext Most Recent EmployerNext Most Recent Employer NameNext Most Employer AddessSupervisor’s NameSupervisor’s PhoneEmployed FromEmployed ToJob TitleStarting SalaryEnding SalaryOther InformationVolunteer Activities (list organization, type of service, dates) Hobbies, Interests (optional) Emiliano’s is an equal opportunity employer. Emiliano’s does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Emiliano’s to hire me. If I am hired, I understand that either Emiliano’s or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Emiliano’s has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Emiliano’s true and complete information on this application. No requested information has been concealed. I authorize Emiliano’s to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.Signature (Type Full Legal Name)THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.