Italian Restaurant and Pizzeria

5476 Steubenville Pike, Robinson Twp, PA 15136

(412) 787-2959

39   Years

Type of School

Name and Location

Graduate?

Major

High School


Yes

No




Trade School or

Junior College


Yes

No




College or University


Yes

No




Employment Preference

Position Desired:



When can you start?







Are you working now?


Yes

No




Do you have a car?


Yes

No




If No how will you get to work?






Are you available to work weekends?

Yes

No




Are you available to work nights?

Yes

No




Employment History

Employer:




Phone #:


Address:







May we contact this employer?

Yes

No




Work Performed:


Reason for leaving:






Employment History

Employer:




Phone #:


Address:







May we contact this employer?

Yes

No




Work Performed:


Reason for leaving:






Name:






Date:


Current Address






Home Phone:


Street:



Apt#:



Cell Phone:


City:



State:

Zip:




Do you have a valid drivers license?


Yes

No



Are you 18 years of age or older?

Yes

No



Have you ever applied here before?


Yes

No



Have you ever been employed here?


Yes

No



Are any relatives or friends currently employed here?

Yes

No



If yes give full name:








Join the Juliano’s Team !

If you would like to join our team, then please complete the following questionnaire.

Please do not call us - we will contact you for an interview if your qualifications match our needs and we have openings for the position you are applying for.


Confidential Pre-Application Questionnaire