List current and last three employers, starting with the most recent one first. Please include any non-paid/volunteer experience which is relevant.

Employment History (continued)

Employment History (continued)

Employment History (continued)

Please list below the names of 3 personal references whom you have known for at least one year. Family members excluded.

Personal References (continued)

Personal References (continued)

I hereby authorize Mac's Pizza Pub, Inc. to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (11 applicable), and previous employers and organizations contacted by Mac's Pizza Pub Inc. to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such Information. I understand that misrepresentation or omission of facts may result In rejection of this application, or If hired, discipline up to and Including dismissal. I understand that nothing contained In this application, or conveyed during any Interview which may be granted, Is Intended to create an employment contract. I understand that filling out this form does not Indicate there Is a position open and does not obligate Mac's Pizza Pub, Inc. to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Mac's Pizza Pub Inc. at any time without prior notice for any reason.