Pura Vida Job Application Form – Fill Out and Use This PDF

PURA VIDA SHAVED ICE

Employment Application

Pura Vida considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, or disability. We maintain a “Drug and Alcohol Policy” and a “Sexual Harassment Policy” consistent with accepted workplace practices regarding these matters. Upon request, you may review a copy of each policy before completing this application.

APPLICANT INFORMATION

Last Name:					First:			M.I.	Date:
Street Address								Apartment/Unit #
City					State			ZIP
Phone					E-mail Address
Date Available		Social Security No.					Desired		$8.00/ hour
							Salary
Position Applied for Pura Vida Crewmember
Are you a citizen of the United States?			YES	NO		If no, are you authorized to work in the U.S.? YES				NO
Do you have a valid Driver’s License?			YES	NO		DL Number, State
						Issued & Exp. Date
Have you ever been convicted of a felony?			YES	NO		If yes, explain

Please feel free to attach additional descriptions on the back of this application if necessary.

EDUCATION

	High School				Address
	From	To	Did you			YES	NO	Degree
			graduate?
	College				Address
	From	To	Did you			YES	NO	Degree
			graduate?
	Other				Address
	From	To	Did you			YES	NO	Degree
			graduate?

REFERENCES

Please list two professional references and one person who is not related to you who has knowledge of your qualifications for this position.

Full Name	Relationship
Company/ Address	Phone	(	)
Full Name	Relationship
Company/ Address	Phone	(	)
Full Name	Relationship
Years known	Phone	(	)

Address

PREVIOUS EMPLOYMENT/ WORK EXPERIENCE PERTINENT TO POSITION APPLYING FOR

Company		Phone	(	)
Address		Supervisor
Job Title	Starting Salary $				Ending Salary $