Anda di halaman 1dari 2

Employment Application

PLEASE TELL US ABOUT YOURSELF


Our policy is to provide equal employment opportunity to all qualified applicants without regard to race, creed,
color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Todays Date:

Name
First:
Middle Initial:
Current Address
# & Street Name:
City:
Permanent Address
# & Street Name:
City:
Telephone/Email
Home/Primary:
Cell/Secondary:
Have you ever been convicted of a felony? If so, please provide details:

Are you 18 years old or older?


Are you eligible to work in the U.S.?
Can you provide proof of eligibility?

Yes
Yes
Yes

No
No
No

Last:
State:

Zip:

State:

Zip:

Email:

Are you currently employed?


Yes No
Do you have reliable transportation?
Yes No
List names of friends or relatives now employed by T.S.C.

Desired Starting Pay:


EMERGENCY CONTACT INFORMATION
Primary Telephone:
Other Telephone:
Primary Telephone:
Other Telephone:

1. Name:
2. Name:

PREVIOUS EMPLOYMENT All Details are Required!


Company Name, City/State,
and Telephone Number

Immediate Supervisor
and 1 Co-Worker

Salary

Job Title

Specific Reason
for Leaving

Start
Date
(mo/yr)

End
Date
(mo/yr)

EMPLOYMENT INFORMATION
(Choose only ONE preference)
Position Applying For: Crew Member Management
Hours/Week Desired: P/T: 15-24 25-33
Are you Currently Employed?
Yes
No
Desired Starting Date?
/
/
Have you ever been dismissed or forced to resign from any employment?
Yes
No
If yes, please explain:
Have you ever been Convicted of a felony crime or theft related misdemeanor?
If yes, please explain:

AVALABILITY

Option 1
Option 2

Yes

F/T: 34-40

No

Please list ALL hours that you are available. For example: Mon 7am 2pm and 6pm Close. If you are
only available for one period, then simply list that time frame under Option 1. If youre available all day,
simply put OPEN CLOSE. Use the specific hours at the store you applying to for guidance.
MON
TUE
WED
THUR
FRI
SAT
SUN

School

Name & Location

EDUCATION
Date From
Course of Study
(mo/yr)

Date To
(mo/yr)

High
School
College

Other

Branch

Rank

GPA

MILITARY SERVICE
Date From
Date To
(mo/yr)
(mo/yr)

List Diploma or
Degree

Duties

PERSONAL REFERENCES
Please provide 3 references to whom youve been accountable include no more than one family member.
Name
Address
Contact Telephone #
Relationship
Years Known
1.
2.
3.
QUESTIONS
1. Why would you like to work at Tropical Smoothie Caf?

2. Where do you see yourself one year from today? (Living, working, playing etc.)

3. Will you need more than 3 consecutive days off for any reason in the next 3 months? If so, please provide specific dates and
length of time needed.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND SIGN


I understand that completion of this application does not indicate that there are any positions currently available and does not obligate
Tropical Smoothie Caf to hire me.
I certify that all of the answers provided in this application are true and complete to the best of my knowledge and that, if employed,
false statements will become grounds for dismissal.
I authorize Tropical Smoothie Caf to investigate and make inquiries of my personal, employment, financial, and academic history
and any other related matters as may be necessary in determining my ability to perform all essential job expectations successfully.
This investigative process may include a review of my personal credit history, driving record, and criminal record. I further authorize
all listed references to provide any information concerning my previous employment and other pertinent information, personal or
otherwise and hereby release all parties from liability for any damage that may result from furnishing such information.
I understand and agree that, if hired, my employment is for no definite period of time and may be terminated at any time for any
reason or no specific reason, with or without prior notice.

Print Name (First, Middle Initial, Last)

Signature

Todays Date