Little Caesars Job Application – Fill Out and Use This PDF

PERSONAL

2.Are you a United States citizen or legally authorized to work in the United States? . . . . . . . . . . . . . . . Yes No

(If hired, you must submit verification of your legal right to work in the United States)

AVAILABILITY FOR WORK

6.What hours or shifts are you available for work? Please note both hours available and hours unavailable to work in the table below. *Do not explain reasons for hours you are not available.

ESSENTIAL JOB FUNCTIONS AND MOTIONS

9.Little Caesars employees are required to work all positions within the restaurant. This requires different essential job functions to be completed. Performing these positions enables us to provide quality products to our customers within a short period of time.

In accordance with the Americans with Disability Act, certain accommodations may be made. Discuss any concerns or

possible accommodations you may need with your interviewer. If hired, our intent is to provide you with a safe and fulfilling work experience.

EXPERIENCE

EMPLOYER/APPLICANT STATEMENT

I represent that the above information, and any other information I may be required to provide, is complete and accurate and any misstatement or omission may result in rejection of my application or termination of employment. I authorize Little Caesars Pizza, its franchisees and its affiliates to conduct, at its discretion an investigative consumer report con- cerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies the information. I authorize my references and any state or local agency to release any information they may have regarding me to a franchisee of Little Caesars Pizza and I release all parties from any liability for requesting and/or providing such information.

I agree that if I am hired, my employment may be terminated at any time for any reason or no reason at all or without notice by me or the franchisee of Little Caesars Pizza. I agree that only the franchisee of Little Caesars Pizza has authority to enter into an employment arrangement other than “at-will” and it must be in writing and signed by the franchisee and me.

If I am hired, in consideration for my employment, I agree to comply with the policies, procedures, guidelines and standards of conduct of the franchisee of Little Caesars Pizza. I agree to keep confidential all proprietary information I learn about Little Caesars Pizza by virtue of my employment with a franchisee of Little Caesars Pizza and I shall not disclose it or use it for my own personal gain or for the benefit of a third party.

This application was designed to comply with Title VII of the Civil Rights Act, The Age Discrimination in Employment Act, The Americans with Disabilities Act, as well as other appli- cable federal and state Fair Employment Practice Laws. Therefore, no question answered is or will be used to discriminate on the basis of race, color, national origin, religion, age, sex, disability, veteran status or any other characteristic protected by federal, state or local laws.

Signature:_ _________________________________________________________________________________________ Date:_ ______________________________

This application for employment is with a franchisee of Little Caesar Enterprises, Inc. as this location is independently owned and operated. As an independent owner, and pursuant to a contractual relationship with Little Caesar Enterprises, Inc, the franchisee is solely responsible for all employment practices and decisions. To the extent that any law dictates employment practices or requirements, it’s the franchisee’s obligation under the franchisee agreement to obey all applicable laws.

Applications are effective for 60 days, after which you must reapply. This period may be extended if you are interviewed for a management position during the 60 day period.