LOVE IN A CUP FROZEN YOGURT BAR
Employment Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Date
Apartment/Unit #
City
State
Phone
E-mail Address
Date Available
ZIP
Social Security No.
Desired Salary
Position Applied for
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
YES
NO
If so, when?
Have you ever been convicted of a felony?
YES
NO
If yes, explain
EDUCATION
High School
From
Address
To
Did you graduate?
College
From
NO
Degree
NO
Degree
NO
Degree
Address
To
Did you graduate?
Other
From
YES
YES
Address
To
Did you graduate?
YES
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
YES
NO
LOVE IN A CUP FROZEN YOGURT BAR
Employment Application
PAGE 2
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Ending Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
MILITARY SERVICE
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
AVAILABILITY
MON
FROM
TO
TUES
WED
THU
FRI
SAT
SUN
Summer___________ School Year _____________ All Year ________________
Minimum number of hours needed to work ______________________________
Maximum number of hours able to work ________________________________
LOVE IN A CUP FROZEN YOGURT BAR
Employment Application
PAGE 3
DISCLAIMER AND SIGNATURE
I understand that I am applying for employment at this particular Love In A Cup location only. I further understand that
completion of this application does not indicate that there are any positions currently open and does not obligate the owners to whom I am
submitting this application to hire me.
I certify that all of the answers given in this application are true and complete to the best of my knowledge and that I have
personally completed this application. I understand that providing false or misleading information or omitting pertinent information in
my application or a job interview shall be grounds for rejection of this application or for immediate discharge if I am employed.
I understand that if I am employed, my employment will be for no definite period of time. I understand that my employment
may be terminated at-will with or without cause, and with or without notice, at the option of the owners.
I authorize all persons or businesses contacted by or on behalf of Love In A Cup about me or my application to disclose any
and all performance reviews, reports, and other documents and information related to my background, work history and
qualifications, without giving me prior notice of such disclosure. I also authorize the persons named herein as references and
others of whom the owners of Love In A Cup Frozen Yogurt Bar may inquire about my background to provide the owners with any
pertinent information they may have regarding me. By signing below, I fully release the owners of Love In A Cup Frozen Yogurt Bar, my
former employers and all other persons, and businesses from any and all claims, demands or liabilities arising out of or in any way related
to such references or disclosures.
Signature
Date
THIS LOVE IN A CUP FROZEN YOGURT BAR IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER AND CONSIDERS ALL APPLICANTS WITHOUT
REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, ANCESTRY, CITIZENSHIP, SEX, PREGNANCY, AGE, PHYSICAL OR MENTAL DISABILITY,
GENETIC INFORMATION, SERVICE IN THE UNIFORMED SERVICES, OR ANY OTHER BASIS PROTECTED BY FEDERAL, STATE OR LOCAL LAW.