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Contact & Locations
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ORDER ONLINE
Home
Menu
Specials
Order Online
Donations
Apply
Contact & Locations
573-874-8629
1201 East Broadway
Columbia, MO 65201
573-777-8998
912 Rain Forest Parkway
Columbia, MO 65202
Employment Application
Employment Application
Position(s) Applied For
*
Date of Application
*
Last Name
*
First Name
*
Middle Name
Address
*
City
*
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
*
Phone Number
*
Cellular/Other Number
Email Address
*
Are You Over 18?
*
Yes
No
Are You Over 21?
*
Yes
No
Have you ever been employed at a Gumby's Pizza before?
*
Yes
No
Have you previously worked in pizza?
*
Yes
No
Referral Source (How did you hear about us?)
*
Date Available for Work
*
Status Sought
*
Full Time
Part Time
Seasonal
When are you available to work?
*
Weekdays
Weekends
Days
Evenings
Late Night
Type of employment desired
Full-Time
Part-Time
Temporary
Seasonal
Educational Co-Op
When can you NOT work?
*
Employment History
Most Recent First
Employer One
Company
Phone
Address
Starting job title/final job title
Immediate supervisor and title (for most recent position held)
Reason for Leaving
From
To
Summarize the type of work performed and job responsibilities
Starting Salary/Hourly Rate
Starting Commission/Bonus/Other Compensation
Ending Salary/Hourly Rate
Ending Commission/Bonus/Other Compensation
May we contact your previous supervisor for a reference?
Yes
No
Later
Contact Email
Employer Two
Company
Phone
Address
Starting job title/final job title
Immediate supervisor and title (for most recent position held)
Reason for Leaving
From
To
Summarize the type of work performed and job responsibilities
Starting Salary/Hourly Rate
Starting Commission/Bonus/Other Compensation
Ending Salary/Hourly Rate
Ending Commission/Bonus/Other Compensation
May we contact your previous supervisor for a reference?
Yes
No
Later
Contact Email
Employer Three
Company
Phone
Address
Starting job title/final job title
Immediate supervisor and title (for most recent position held)
Reason for Leaving
From
To
Summarize the type of work performed and job responsibilities
Starting Salary/Hourly Rate
Starting Commission/Bonus/Other Compensation
Ending Salary/Hourly Rate
Ending Commission/Bonus/Other Compensation
May we contact your previous supervisor for a reference?
Yes
No
Later
Contact Email
Education
High School
Address
From
To
Did you graduate?
Yes
No
Degree
College
Address
From
To
Did you graduate?
Yes
No
Degree
Other
Address
From
To
Did you graduate?
Yes
No
Degree
References
Must Have 3 Non-Family References
Reference 1
Full Name
*
Relationship
*
Company
Phone
*
Email
Years Known
Reference 2
Full Name
*
Relationship
*
Company
Phone
*
Email
Years Known
Reference 3
Full Name
*
Relationship
*
Company
Phone
*
Email
Years Known
Why do you want to work for Gumby's?
What three (3) words BEST describe you?
What skills do you possess that make you an asset to our team?
Any additional information you feel may be helpful to us in considering your application
Signature
*
Date
*
If you are human, leave this field blank.
