RETAILEMPLOYMENTAPPLICATION

DesiredLocation: GENERALINFORMATION

FullName:

LAST FIRST MIDDLE

Date:

Address:

STREETADDRESS APT/UNIT#

CITY STATE HOME MOBILE ZIPCODE

Phone#:

()

EMail:

Position:

DateAvailable:

DesiredSalary:

$HR/YR

JobType: Availability:

FullTime

PartTime
MON

Seasonal(CircleOne):Summer/Winter TUES
YESNO

Other:
FRI

WED

THURS

SAT

SUN

(Hourly)

FROM TO

Areyouatleast18yearsofage?

YESNO

IfNo,youmayberequiredtoprovideaworkpermituponhire.
YESNO

AreyouacitizenoftheUnitedStatesofAmerica?

YESNO

IfNo,areyouauthorizedtoworkintheU.S.?

Haveyoueverworkedforthiscompany?

YESNO

IfYes,whenandwhere?

Haveyoueverbeenconvictedofafelony?

IfYes,pleaseexplain:

EDUCATION HighSchool:
YESNO

Address:

Haveyougraduated? College:

YESNO

Degree:

Address:

Haveyougraduated? Other:

YESNO

Degree:

Address:

Haveyougraduated?

Degree:

REFERENCES

FullName: Company: Address:

Relationship:

WORK OTHER

Phone: ()

FullName: Company: Address:

Relationship:

WORK OTHER

Phone: ()

PREVIOUSEMPLOYMENT

Company: Address: From: To: StartingSalary:

Phone: () Supervisor: $HR/YR EndingSalary:

WORK OTHER

$HR/YR

JobTitle:

Responsibilities:

YESNO

ReasonforLeaving:

Maywecontactthisemployer? Phone: () Supervisor: To: StartingSalary: $HR/YR EndingSalary:

WORK OTHER

Company: Address: From:

$HR/YR

JobTitle:

Responsibilities:

YESNO

ReasonforLeaving:

Maywecontactthisemployer? Phone: () Supervisor: To: StartingSalary: $HR/YR EndingSalary:

WORK OTHER

Company: Address: From:

$HR/YR

JobTitle:

Responsibilities:

YESNO

ReasonforLeaving:

MILITARYSERVICE

Maywecontactthisemployer?

Branch:

From:

To:

RankatDischarge:

TypeofDischarge:

Pleaseexplainifotherthanhonorable:

EMPLOYMENTEXAM *Pleaserefrainfromusingacalculator

1.

Whichnumbershouldfollowthissequence?

1441211008164

2.

Timothyisfouryearsold.JanetisthreetimesasoldasTimothy.WhenTimothyturnstwelve, howoldwillJanetbe? 89x98= 5. 6. 5467+4852+765+9236= 2622+26225624=

3.

4.

4.76895.4567=

7.

Whatpersonalqualitiesdoyouhavethatwouldgreatlycontributetothe YOGURTLANDculture?

8.

Acustomercomestotheregisterandinformsyouhedidnotreceivetheproperchange.Insteadof54,hewas given45.Whatdoyoudo?

9.

PleaseprioritizethefollowingqualitiesofYOGURTLANDfrom mostimportantto leastimportant: ComfortableEnvironment/Quick&FriendlyService/GreatProduct Pleaseexplainwhyyouchoseyourparticularorder.

10. WhatwouldyoudoiftheShiftLeaderasks youtoextend yourdutyfortwohours,butitinterfereswithyourplans towatchamoviewithfriendsthesamenight?

DISCLAIMER

The Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, streptococcus, giardia, E. coli, and campylobacter may prevent you from serving food or handling food equipment in a sanitaryorhealthyfashion.Anessentialfunctionofthisjobinvolveshandlingandservingfood,foodserviceequipmentandutensilsina sanitaryandhealthyfashion.Isthereanyreasonwhyyoucannotperformtheessentialfunctionsofthisjob? YES/NO IfYES,pleaseexplain: 1. I certify that I have read and fully completed all three (3) pages of this application and that the information contained in this application is correct to the best of my knowledge. I understand that any omission or erroneous information is grounds for dismissalinaccordancewithYOGURTLANDspolicy. Iauthorizethereference(s)listedinthisapplicationtoprovideanyandallinformationconcerningmypreviousemploymentas wellaspertinentinformationtheymayhave,personalorotherwise.Ireleaseallpartiesfromallliabilitiesforanydamagesthat mayresultfromfurnishingtheaforementionedinformation. IacknowledgethatYOGURTLANDreservestherighttoamendormodifythepoliciesinitsEmployeeHandbookaswellasother YOGURTLANDpoliciesatanytime,withoutpriornotice.Thesepoliciesdonotcreateanypromise(s)orcontractualobligation(s) betweenYOGURTLANDanditsemployee(s).AtYOGURTLAND,myemploymentisatwill.ThismeansIamfreetoterminatemy employmentatanytimeorforanyreason,withorwithoutcause.YOGURTLANDalsoretainsthesesamerights.

2.

3.

YOGURTLAND is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of sex, gender, race or color, national origin, ancestry, sexual orientation, pregnancy, citizenship status, age, religion, disability or medical condition,maritalstatusormilitarystatus.ItisYOGURTLANDspolicytofullycomplywiththeselaws,asapplicable.Theinformation requestedinthisapplicationwillnotbeusedforanypurpose(s)prohibitedbythelaw.

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