H.R. Butler Payroll Setup

H.R. Butler Payroll Setup

First Name (Required)

Last Name (Required)

Email Address (Required)

Email Address again: (Required)

Date of birth

social security number

Hire/Start Date:

Rate of pay: (Required)

Position (Required)

Store:

You will be sent an email from: hrbutler@myisolved.com to set up your payroll account. You must complete the link in this email in order to be paid.

Identification

Street Address (Required)

Street Address Line 2

City (Required)

State (Required)

Zip Code (Required)

Phone Number (Required)

000-000-0000 or (000) 000-0000

Personal

Are you under 18 years of age?

Yes

No

If yes, birthdate

How did you learn of this opening?

Were you previously employed by Master Pizza?

Yes

No

If yes, list dates, location, position and supervisor:

Are you a U.S. citizen?

Yes

No

If no, do you possess an alien registration card?

Yes

No

If hired, do you have a reliable means of transportation to get to work?

Yes

No

If no, please explain

Do you have any physical condition which would limit your ability to perform the job?

Yes

No

If yes, describe such a condition:

Have you ever been convicted of a felony?

Yes

No

If yes, explain

In case of emergency, notify:

Availability

Number of Hours Desired (Required)

Date available to start

Monday Availability (select all that apply)

AM

PM

Tuesday Availability (select all that apply)

AM

PM

Wednesday Availability (select all that apply)

AM

PM

Thursday Availability (select all that apply)

AM

PM

Friday Availability (select all that apply)

AM

PM

Saturday Availability (select all that apply)

AM

PM

Sunday Availability (select all that apply)

AM

PM

Employment History

Employer 1

Company Name

Employer Phone

Start Date

End Date

Position

May we contact?

Yes

No

Employer 2

Company Name

Employer Phone

Start Date

End Date

Position

May we contact?

Yes

No

Education

Highschool (School Name and Location)

Graduate

Yes

No

College (School Name and Location)

Graduate

Yes

No

Trade/ Business (School Name and Location)

Graduate

Yes

No

References

Please list below three people you have known at least one year (excluding relatives).

Reference 1

Name

Occupation

Street Address

Street Address Line 2

City

State

Zip code

Phone Number

000-000-0000 or (000) 000-0000

Reference 2

Name

Occupation

Street Address

Street Address Line 2

City

State

Zip code

Phone Number

000-000-0000 or (000) 000-0000

Driver

This section is for delivery driver applicants only

Do you currently have car insurance?

Yes

No

If yes, Please indicate company:

The number of points on your driving record:

Driver License Number:

State:

Certification

I authorize investigation of all statements contained in this application, except where I have requested on this form that no investigation be made. I hereby certify that the facts set forth in this application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. I understand that my employment will be on a probationary basis for the period established for all new employees (45 days), and that regular employment will, at the option of the company, be contingent upon my satisfactorily passing a physical examination, if required.