Ozzie's is an equal opportunity employer.  We select each employee based solely on job related qualifications, regardless of race, color, creed, national origin, age, disability or other membership in a protected group under State, Federal or Local Equal Opportunity Laws.

Applicants will be considered for employment only for a period of 30 days from the date on the application

*TO BE CONSIDERED FOR EMPLOYMENT, PLEASE FILL OUT THE APPLICATION AS COMPLETELY AS POSSIBLE*

APPLICANT INFORMATION

First Name
Middle Name
Last Name
Street Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code
Phone (with area code) Cell Phone (with area code)
Social Security Number

How long have you lived in this city?

How far do you live from this location?


Do you have transportation to work?

Do you have an Email Address?

JOB INTERESTS

Position(s) Applied for:

Salary Desired :

Hours Available :
Monday: Tuesday: Wednesday: Thursday:
Friday: Saturday: Sunday:

Total Hours Available Per Week :

Any days you CANNOT work?

Any restrictions on hours you can work?

Are you available to work on holidays? Yes No

How long do you intend to remain on this job?

If hired, when would you be able to start?

Have you ever interviewed with Ozzie's before? No
Yes
If yes, what date? What location?

Have you ever worked at Ozzie's before? No
Yes
If yes, what dates? What location?
Supervisor:

Future work interests ?

EDUCATION & TRAINING

What is the highest level of education you have achieved?
High School 9 10 11 12 College 0 1 2 3 4+ Trade/Tech School 0 1 2 3 4+

Name of High School
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Did you graduate? Yes No

College
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Degree
Major Minor
Dates Enrolled:
From To

Trade/Tech School
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Training
Dates Enrolled:
From To

WORK HISTORY (please begin with the most recent)

1.
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)
Starting Salary Ending Salary
Dates Employed: From To
Starting Position Ending Position
Supervisor's Name
What did you like most?
What did you like least?
Describe duties briefly

My supervisor would rate my performance as: Excellent Very Good Good Fair Poor
My supervisor would rate my safety record as: Excellent Very Good Good Fair Poor
Number of days missed from work (do not count vacations)
Reason for Leaving: Laid off/company or department closed down Better job opportunity School Didn't like job Fired/asked to resign Other (specify below)
If other, please specify:
If you are currently employed, may we contact your employer ? Yes No

2.
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)
Starting Salary Ending Salary
Dates Employed: From To
Starting Position Ending Position
Supervisor's Name
Describe duties briefly

Reason for Leaving: Laid off/company or department closed down Better job opportunity School Didn't like job Fired/asked to resign Other (specify below)
If other, please specify:

3.
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)
Starting Salary Ending Salary
Dates Employed: From To
Starting Position Ending Position
Supervisor's Name
Describe duties briefly

Reason for Leaving: Laid off/company or department closed down Better job opportunity School Didn't like job Fired/asked to resign Other (specify below)
If other, please specify:

PERSONAL INFORMATION

Person to notifiy in case of an emergency:
First Name
Last Name
Street Address
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code
Phone (with area code) Cell Phone (with area code)

Are you of legal age to serve alcohol? Yes No
If you are a minor, can and will you provide:
Proof of age? Yes No Not Applicable A work permit? Yes No Not Applicable
If employed, can you submit verification of your legal right work in the United States? Yes No

Have you been convicted of a crime in the past 10 years? Yes No
If yes, explain.

Many Ozzie's positions require the handling of and accountability for large sums of money. 
Is there any reason you may not be able to do so? Yes No
If yes, please explain:

REFERENCES

Please list three work references
1.
Name
Title
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)

2.
Name
Title
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)

3.
Name
Title
Company
Address
City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone (with area code)

AGREEMENTS & WAIVERS

If employed, I hereby agree to abide by the rules and regulations of Ozzie's including those which address job-related dress and grooming standards.  I understand these rules and regulations may be amended or revised by Ozzie's at any time and that nothing in this application creates, or will create, an express or implied contraco of employment between Ozzie's and me.  I acknowledge Ozzie's has the right to conduct random drug tests and to search its property, such as lockers or desks, at any time without prior notice or permission.  I agree to fully cooperate in any investigation of missing Company property by submitting to a serach of my person or property.  I further understand that refusal to cooperate in such investigation may result in my discharge.
I agree to the above statement -please select- I Agree I Do Not Agree

WAIVER:  I HEREBY GIVE THIS COMPANY PERMISSION TO CONTACT ALL OF MY REFERENCES FOR INFORMATION -please select- I Agree I Do Not Agree

I understand and agree that:
1. This is an application for employment and not an employment contract.
2. If hired, my employment will be at the sole discretion of this company and shall by for no definite period of time.  Ozzie's may change any wages, benefits and conditions of employment at any time.  Ozzie's may terminate my employment at any time without liability.
3. Business needs will make the following conditions mandatory:  overtime, shift work, a rotating work schedule and work scheduled other than Monday through Friday.
4. If hired, Federal law requires that I furnish documentation showing my identity and that I am legally authorized to work in the United States.
I agree to the above statements. -please select- I Agree I Do Not Agree

I certify that the facts contained on this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for my dismissal. This release and authorization acknowledges that this Company may now, or at any time while I am employed, administer a personality profile, conduct a verification of my education, social security number, previous employment, credit history, contact personal references, require that I submit to drug and/or alcohol testing, motor vehicle records, worker's compensation from the Department of Labor and/or the Worker's Compensation Commission, and to receive any Federal, State or local criminal history record information pertaining to me which may be in the files of any Federal, State or local justice agence in Missouri or any other states.

I authorize Pre-employment Screening, Inc. of St. Louis, Missouri, (PES), and any of its agents/designated company personnel to disclose orally and in writing the results of my background verification process and/or interview to the designated authorized representatives of the Company.
I authorize a $15.00 processing fee to be deducted from my first pay check.

I agree to forever release and discharge the Company, PES, and their associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs, expenses or any other charge or complaint filed with any agency arising from the retrieving and reporting of information. I have read and understand this release and consent, and I authorize the background verification. I authorize the Company to withhold a $15.00 processing fee from my first pay check.

By typing your name, you electronically agree to the above statements.
Today's Date:
Driver's License Number
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Exp. Date

If hired, you must furnish your Social Security Card and one of the following documents before starting work:
o A card issued by Federal, State or local government showing your identity.
o U.S. Passport.
o Driver's license or state issued I.D. card with photo.
o Voter's Registration Card.
o Unexpired foreign passport with employment authorization. o U.S. Military card or other draft card.
o Current INS Forms with employment authorization stamps.
o School I.D. card with photo.
In place of a social security card, the following documents are also acceptible: an original or certified copy of a U.S. Birth Certificate, or Department of State Forms FS-545 or DS 1350 or INS Forms I-327, I-571, I-197, I-179

By clicking "Submit," you are confirming that all information is honest and accurate.
Please review the application and click "Submit" to send the application.