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 DATE AVAILABLE TO START SALARY DESIRED

ARE YOU CURRENTLY

EMPLOYED? CIRCLE ONE:

Y

ES NO

IF SO, MAY WE CONTACT

YOUR EMPLOYER

?

Y

ES NO

HAVE YOU EVER WORKED FOR

THIS COMPANY?

Y

ES NO

IF SO, WHERE? WHEN?

NAME AND LOCATION OF SCHOOL YEARS ATTENDED/GRADUATE? SUBJECTS STUDIED

GRAMMAR SCHOOL

_______ Yrs. / YES NO

HIGH SCHOOL

_______ Yrs. / YES NO

COLLEGE

_______ Yrs. / YES NO

TRADE, BUSINESS, OR OTHER

_______ Yrs. / YES NO

GENERAL

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

HAVE YOU EVER BEEN CONVICTED OF A CRIME? YES NO EXPLAIN:

MILITARY SERVICE?

YES NO

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

p

ersons not related to

y

ou, whom

y

ou have known at least one

y

ear

)

NAME ADDRESS BUSINESS YEARS KNOWN

NAME ADDRESS BUSINESS YEARS KNOWN

NAME ADDRESS BUSINESS YEARS KNOWN

AUTHORIZATION

DATE: __________________ SIGNATURE: __________________________________________________________________

INTERVIEWED BY: _____________________________________________________________ DATE: ____________________

______________________________________DO NOT WRITE BELOW THIS LINE_____________________________________

REMARKS

HIRE DATE START DATE POSITION WAGE

"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."

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

Employment Application

Pre-Employment Questionnaire

Equal Opportunity Employer

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