About You Availability Education Other Stuff Experience Driving Resume

START YOUR CAREER AT DOMINO'S PIZZA - Step One: Tell us about yourself

		First Name	Middle Name	Last Name
	Where do you live?		Province	City
Postal Code			Country	How Long There?
Main Phone			Emergency Contact	Emergency Contact Phone
Alt. Phone			Email Address
Leave this box checked to allow Domino's Pizza of London to contact you by e-mail.
Are you legally allowed to work in Canada? Yes No
How did you hear about the job?
Internet			Box Topper	Worked for Domino's previously
Newspaper Ad			Walk-in	Store Banner
My buddy works at Domino's!			Your buddy's name	What store do they work at?

Step Two: When are you available?

Which Dominos location(s) would you be willing to work at?

100 Wharncliffe Rd. S., London, ON

655 Wellington Rd S, London, ON

1548 Dundas St E, London, ON

1673 Richmond St N, London, ON

1290 Byron Baseline Rd, London, ON

1355 Huron St, London, ON

Position applying for?

Customer Service Representative
Contract Delivery Driver
Management

Type of position desired:

Part Time
Full Time
Temporary

Date you can start?

How many hours per week
do you wish to work?

5 - 15
15 - 30

30 - 40
40 +

So when can you work? The more often you're available, the more likely we'll be able to add you to the team!

Are you currently employed? Yes No Do you plan to keep working there if you work for Dominos? Yes No

Step Three: Tell us about your education

		High School (last attended)	Location	Did you graduate? Yes No
	College (last attended)		Location	Did you graduate? Yes No
Major			Degree/Diploma
Are you in school now? Yes No			Do you plan on returning to school? Yes No	If yes, when?

Step Four: Help us get to know you better

	List any special skills that may help you at Domino's.
List some of your interests and activities, including volunteer work, awards and honors.
A good attendance record is important at Domino's. Is there anything that would force you to be consistently late? Yes No
If yes, please explain.

Step Five: Where else have you worked?

Please list all previous employers, starting with the most recent. If you have previously worked for Domino's, please write the store number or distribution center and indicate if it was corporate or franchise. If you have more than three previous employers, please list the three most relevant to the position applied for.

Dates	Business Name	Responsibilities	Type of Business	Pay Rate	Reason for Leaving
From To				Starting Ending
From To				Starting Ending
From To				Starting Ending

Step Six: For Management and Contract Delivery Applicants Only

All Management and Contract Delivery applicants must meet the requirements of our Safe Driver Policy. Your driving record abstract will be requested prior to hire and checked at least every six months thereafter for compliance with Domino's Safe Driver Policy.

List your current valid driver's license:
Number: Province: Expiry:

List any other driver's license held in the last two years:
Number: Province/State: Expiry:

List any traffic violations within the last three years. Include the date, violation and penalty (excluding parking violations):

In the past five years, have you ever been convicted of:	YES	NO
Leaving the scene of an accident?
Reckless driving?
Participation in an illegal speeding contest?
Hit and run?
Driving impaired or under the influence of drugs or alcohol?
Vehicular homicide or assault?
Eluding or attempting to elude a police officer?
Being convicted of any of the above offences in the last 5yrs will disqualify a candidate.

Auto insurance company:

Policy number:

Policy effective date:

Expiration date:

Amount of liability coverage:

Last Step: We just need your resume, and you're done!

To increase your chances of receiving an interview, please take the time to copy your cover letter and resume in the spaces provided below. It is not a requirement to include a cover letter or resume, but it will help us get to know you better, and in turn significantly increase your employment opportunities with us.

Cover Letter (paste or type your cover letter below)

Resume (paste or type your resume below)

Disclaimer

I certify that the facts contained in this application are true and complete. I understand that, if employed or contracted as a driver, false statements or omissions on this application are grounds for termination.

I authorize investigation of all statements contained herein. I further authorize all individuals, companies, schools, corporations and motor vehicle agencies to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release all parties from all liability for any damage that may result from furnishing the same to you.

I agree with the above statements.

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Please refer to offer when ordering. Limited time. Prices, participation, delivery area, terms and charges may vary.

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