Employment Application Smoothie Signature II SK

User Manual: Smoothie Signature II

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Smoothie King Application Instructions

1. Completely fill out application on following pages
2. Use page 3 to indicate the following items:
a. Which store location you prefer:
i. Florissant
ii. Westport Plaza
iii. Maryland Heights
iv. Creve Coeur
v. Kirkwood
b. Both summer and fall/spring availability
c. Number of hours you’d like to work each week
d. Best time to contact you
e. Any other pertinent information
3. Submit completed application:
a. In person at store OR
b. Via fax 314.485.8824 OR
c. Via email jeremys@smoothiekingstl.com

Employment Application
Pre-Employment Questionnaire
Equal Opportunity Employer
PERSONAL INFORMATION
Name (Last Name First)

SOCIAL SECURITY NUMBER

PRESENT ADDRESS

CITY

STATE

ZIP CODE

PERMANENT ADDRESS

CITY

STATE

ZIP CODE

PHONE NUMBER

DATE OF APPLICATION

REFERRED BY

EMPLOYMENT DESIRED
POSITION
ARE YOU CURRENTLY
EMPLOYED? CIRCLE ONE:
HAVE YOU EVER WORKED FOR
THIS COMPANY?

YES

NO

YES

NO

DATE AVAILABLE TO START

SALARY DESIRED

IF SO, MAY WE CONTACT
YOUR EMPLOYER?
IF SO, WHERE?

WHEN?

YEARS ATTENDED/GRADUATE?

NAME AND LOCATION OF SCHOOL

YES

NO

SUBJECTS STUDIED

GRAMMAR SCHOOL
_______ Yrs. /

YES

NO

_______ Yrs. /

YES

NO

_______ Yrs. /

YES

NO

_______ Yrs. /

YES

NO

HIGH SCHOOL
COLLEGE
TRADE, BUSINESS, OR OTHER

GENERAL
SUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS

HAVE YOU EVER BEEN CONVICTED OF A CRIME?
MILITARY SERVICE?
YES
NO

YES

NO

EXPLAIN:

WHICH BRANCH?

RANK

FORMER EMPLOYERS (List below your last four employers, starting with the last one first)
FROM:

TO:

NAME AND ADDRESS

SALARY:

POSITION:

REASON FOR LEAVING

FROM:

TO:

NAME AND ADDRESS

SALARY:

POSITION:

REASON FOR LEAVING

FROM:

TO:

NAME AND ADDRESS

SALARY:

POSITION:

REASON FOR LEAVING

FROM:

TO:

NAME AND ADDRESS

SALARY:

POSITION:

REASON FOR LEAVING

© June 2000 Smoothie King Franchises, Inc. • Version 1 • Confidential • Sample Form Only

Employment Application
Pre-Employment Questionnaire
Equal Opportunity Employer
REFERENCES (Give the names of three persons not related to you, whom you have known at least one year)
NAME

ADDRESS

BUSINESS

YEARS KNOWN

NAME

ADDRESS

BUSINESS

YEARS KNOWN

NAME

ADDRESS

BUSINESS

YEARS KNOWN

AUTHORIZATION
"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF
MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL
BE GROUNDS FOR DISMISSAL.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND
EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS
EMPLOYMENT AND ANY PERTINENT INFORMATION THEY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE
COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH
INFORMATION.
I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO
ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR MAKE ANY
AGREEMENT CONTRARY TO THE AGREEMENT FORGOING, UNLESS IT IS IN WRITING SIGNED BY AN
AUTHORIZED COMPANY REPRESENTATIVE."

DATE: __________________

SIGNATURE: __________________________________________________________________

INTERVIEWED BY: _____________________________________________________________

DATE: ____________________

______________________________________DO NOT WRITE BELOW THIS LINE_____________________________________
REMARKS

HIRE DATE

START DATE

POSITION

© June 2000 Smoothie King Franchises, Inc. • Version 1 • Confidential • Sample Form Only

WAGE

Employment Application
Pre-Employment Questionnaire
Equal Opportunity Employer

© June 2000 Smoothie King Franchises, Inc. • Version 1 • Confidential • Sample Form Only
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