Disclaimer & Signature
Part 2 of Application
1. I certify that I have read and fully completed all pages of this application and that the
information contained in this application is correct to the best of my knowledge.
2. I understand that any omission or erroneous information in this application or
furnished during the interview is grounds for dismissal in accordance with Mama
Gina’s Pizzerias employment policies.
3. I authorize all references listed in this application to provide any and all information
concerning my previous employment as well as pertinent information they may have. I
release all parties from all liabilities for any damages that nay result from furnish the
4. I certify that I meet all requirements and qualifications required to perform this job.
5. I acknowledge that Mama Gina’s Pizzeria reserves the right to amend or modify the
policies in its Employee Guide as well as other policies at any time, without prior
6. If this application leads to employment, I understand that the employer may require
me to obtain a Food Handlers Certification/Card or other certifications from
appropriate government authorities.
7. I understand that at Mama Gina’s Pizzeria My employment is at-will.
8. I understand that I may be asked to go for drug test and background test before being
hired or during the course of employment with Mama Gina’s Pizzeria.
Mama Gina’s Pizzeria is an Equal Opportunity Employer. The information requested in
this application will not be used for any purpose prohibited by the law.
9380 W. Westgate Blvd., Glendale, Arizona 85305 623-872-0300