Hometown Pizza

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Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.


Please indicate the times you are available for each workday (From-To). If you are not available for a shift on a particular day please enter 'N/A':

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Professional References

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Application Statement

In consideration of my employment, I agree to conform to the rules and regulations of Hometown Pizza, Inc. and understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at anytime, at the option of either the company or myself. I understand that no restaurant manager or representative of Hometown Pizza Inc., other than the President or Vice President of Hometown Pizza, Inc., has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

I declare my answers to the questions on this application are true, and give Hometown Pizza, Inc. and its affiliates the right to investigate all information given and to secure additional information, if necessary. I understand that an investigative report may be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial resources, friends, neighbors, or others with whom I am acquainted. I understand that this inquiry includes information as to my character, general reputation, personal characteristics and mode of living, whichever may be applicable. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation. In accordance with the law I hereby release from all liability or responsibility all persons, companies or corporations furnishing such information. I further understand that the completion of this application does not assure me a position with Hometown Pizza, Inc. and does not obligate Hometown Pizza, Inc. to me in any way.

I understand that Hometown Pizza, Inc. has mediation and arbitration programs to resolve employment related disputes. I agree that the exclusive procedure to resolve any such disputes shall be through Hometown Pizza, Inc.'s mediation and arbitrations programs, and that arbitration proceedings shall be governed by the federal Arbitration Act, conducted by a neutral arbitrator under the American Association's 'Employment Arbitration Rules and Mediation Procedures.' I understand that I am relinquishing the right to file a civil suit based on any and all claims, disputes or controversies, arising out of or relating to my application, employment or cessation of employment by Hometown Pizza, Inc.

I further understand that any misleading or incorrect statements or the incomplete filling out of this application my render this application void and, if employed, may be cause for immediate discharge.


U.S. Equal Employment Opportunity/Affirmative Action Information
Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Please Note: Completion of this form is voluntary
Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.



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  • Hodgenville - LaRue County105 Lincoln Drive Hodgenville, KY 42748
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  • Bardstown - Nelson County109 Blakenrod Boulevard Bardstown, KY 40013
  • Louisville - Preston Highway4041 Preston Highway Louisville, KY 40213
  • Louisville - J-Town12613 Taylorsville Road Louisville, KY 40299
  • Louisville - Fern Creek9601 Newbridge Road, Suite 1 Louisville, KY 40291
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