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Applicant’s Name:*

E‑Mail:*

Social Security Number*

Phone Number Day:*

Phone Number Evening:

Address*

Address: Apt/Lot: City: State: Zip:

Previous Address*

Previous Address: Apt/Lot: City: State: Zip:

How were you referred to us?:*

Do you have snowball making experience?*

Yes

No

Have you been employed by our organization before?*

Yes

No

Are you 18 years of age or older?*

Yes

No

Are you eligible to work in the United States?*

Yes

No

Position Desired:*

Date Available to Work:*

MM slash DD slash YYYY

Which Locations are you available to work:*

Uptown

Shifts Available to Work in Uptown:

Mon 11am — 5pm

Mon 1pm — 7pm

Mon 4pm — 10pm

Tues 11am — 5pm

Tues 1pm — 7pm

Tues 4pm — 10pm

Wed 11am — 5pm

Wed 1pm — 7pm

Wed 4pm — 10pm

Thurs 11am — 5pm

Thurs 1pm — 7pm

Thurs 4pm — 10pm

Fri 11am — 5pm

Fri 1pm — 7pm

Fri 4pm — 10pm

Sat 11am — 5pm

Sat 1pm — 7pm

Sat 4pm — 10pm

Sun 11am — 5pm

Sun 1pm — 7pm

Sun 4pm — 10pm

List the language(s) you are fluent in:*

What other skills do you possess that will help you excel in this position:*

Have you had a previous job before?*

Yes

No

Address*

Company Name: Address: City: State: Zip:

Supervisor Name:*

Supervisor’s Position:*

Your Position:*

Work Phone:*

Duties:*

Date From:*

Date To:*

Starting Salary:*

Ending Salary:*

Reason for Leaving:*

If you are employed, may we contact your present employer?*

Yes

No

If presently employed, why do you desire to change your position?*

Date From:

Date To:

State what you were doing:

Date From:

Date To:

State what you were doing:

Names of relatives, friends or co-habitants working for this organization:

Other names used in previous employment:

Have you ever been convicted of a criminal offense involving dishonesty or breach of trust (including but not limited to robbery, embezzlement, forgery, perjury, tax evasion, etc.)?*

Yes

No

Tell us about yourself:*

What are your strengths?*

What are your weaknesses?*

Tell us why you want to join our team:*

What unique skills will make you stand out:*

Tell us how you like to receive feedback:*

What do you want to accomplish with this job?*

Tell us how you want to be treated if you were a customer at our business:*

Tell us what you do when you’re not working:*

Are you interested in opening your own snowball stand?*

I hereby affirm that my answers to the questions herein are true and correct. I recognize that a routine investigation may be made for verification of all statements contained in this application; and in addition, an investigative inquiry may be pursued to provide information on my character, credit, general reputation and personal characterisitcs; and should such an inquiry be made, more information about the nature and scope of said inquiry will be furnished me upon written request. I further understand that misrepresentation or omission of facts called for on this application is cause for rejection of this application or for subsequent dismissal from employment. If employed, I agree to comply with and be bonded by the rules, regulations and policies of this employer. I fully understand that this is an application for empoyment and that no employment contract is beint offered; and I understand that if employed, such employment is for an indefinite period and is subject to change in wages, conditions, benefits, and operating policies. I understand that if hired, my employment will be “AT WILL,” and can be terminated at any time, without notice and without cause. I understand that my “AT WILL” status will remain in effect throughout my employment with the organization and any of its parent, subsidiary, or affiliated entites. I expressly understand that this “AT WILL” relationship cannot be modified or altered by any oral or implied agreement. If employed, I also agree to submit to a physical examination at any time, at the request of this organization, and agree that the examining physician may disclose the findings to an authorized agent of this organization.*

Yes

No

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