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Employment Application 2

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juan diego macias moral
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174 views3 pages

Employment Application 2

Uploaded by

juan diego macias moral
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Scoops and Treats

Ice Cream and fudge shop


LLC
Employment Application
Applicant Information
Full Name: Date:
Last First M.I.

Address:
Street Address Apartment/Unit #

City State ZIP Code

Phone: Email

Days and hour available: (if employed, I will notify my supervisor, in writing, if my availability changes.)
My availability is as follows below:
If not, Please state in the comment section below

Sunday Monday Tuesday Wednesday Thursday Friday Saturday


12:45 PM 4:45 PM 4:45 PM 4:45 PM 4:45 PM 4:45 PM 12:45 PM
From:
TO: Close Close Close Close Close Close Close

Date Available: Social Security No: Desired Salary:$

YES NO YES NO
Are you a citizen of the United States? If no, are you authorized to work in the U.S.?

YES NO
Have you ever worked for this company? If yes, when?

Have you ever been convicted of a YES NO


felony?

If yes, explain:

Education
High School: Address:

YES NO
From: To: Did you graduate? Diploma:

College: Address:

1
YES NO
From: To: Did you graduate? Degree:

Other: Address:

YES NO
From: To: Did you graduate? Degree:

References
Please list one or more professional references.

Full Name: Relationship:


Company: Phone:
Address:

Full Name: Relationship:


Company: Phone:
Address:

Full Name: Relationship:


Company: Phone:
Address:

Previous Employment
Company: Phone:
Address: Supervisor:

Job
Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone:
Address: Supervisor:

Job Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

2
Company: Phone:
Address: Supervisor:

Job Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Military Service
Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature


I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
I understand that the employer does not unlawfully discriminate employment and no questions on this application
is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis
prohibited by applicable local, state, and federal law.
I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the
United States and federal immigration laws require me to complete an I-9 Form in this regard.
I understand by signing this disclaimer I am allowing Scoops and Treats LLC to run a complete background
check.
Do not sign until you have read the above applicant statement
I certify that I have read, fully understand and accept all terms of the foregoing applicant statement.

Signature: Date:

Comment Section:

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