EMPLOYMENT APPLICATION
PERSONAL INFORMATION |
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DATE OF APPLICATION: _________________________ |
Name: |
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Are you at least 18 years of age? YES___ NO___ If no, you may be required to provide a work permit upon hire. Are you a citizen of the United States? YES___ NO___ If no, are you authorized to work in the U.S.? YES___ NO___
Have you ever been convicted of a felony? YES___ NO___
If yes, explain: _________________________________________________________________________________________
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Position Sought: __________________________________ |
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Available Start Date: ________________________ |
Are you currently employed? ______________ |
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Availability: |
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(What hours |
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can you work?) |
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EDUCATION |
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Name and Location |
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Graduate? – Degree? |
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High School |
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College or University |
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Specialized Training, |
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Trade School, etc… |
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Other Education |
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Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position:
_________________________________________________________________________________________________
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PREVIOUS EMPLOYMENT
Please list beginning with most recent |
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Dates Employed |
Company Name |
Location/Phone No. |
Role/Title |
Job notes, tasks performed and reason for leaving:
Dates Employed |
Company Name |
Location/Phone No. |
Role/Title |
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Job notes, tasks performed and reason for leaving:
Dates Employed |
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Job notes, tasks performed and reason for leaving:
REFERENCES
Full Name:_______________________________ Relationship:_____________________ Phone:______________________
Full Name:_______________________________ Relationship:_____________________ Phone:______________________
Full Name:_______________________________ Relationship:_____________________ Phone:______________________
MILITARY SERVICE
Branch: ______________________________From: __________________ To: __________________
Rank at Discharge: __________________________ Type of Discharge: _____________________________
If other than honorable, explain: _______________________________________________________________________
________________________________________________________________________
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 sanitary or healthy fashion. An essential function of this
job involves handling and serving food, food service equipment and utensils in a sanitary and healthy
fashion. Is there any reason why you cannot perform the essential functions of this job?
Yes / No If yes, explain :
______________________________________________________________________________________________
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SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release.
I authorize the references listed on this application to provide any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liabilities for any damages that may result from furnishing same.
I will agree to a drug test, if permitted by law, to be paid for by the company. If employed by the company, I understand that I will be an employee “at will” and that my employment with Yogurt Zone may be terminated at any time by me or Yogurt Zone for any reason whatsoever.
I understand that this is only an application for employment and neither an offer nor a contract of employment and no part of this application shall be construed as an offer of employment or an employment contract.
Applicant’s Signature: ____________________________________ |
Date: _______________________ |
If under age 18, Parent or Guardian Signature: ______________________________ |
Date: _______________________ |
YOGURT ZONE is an Equal Opportunity Employer. Federal, State and Local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability, or veteran status. It is YOGURT ZONE’S policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.
Math and Money Test
Add up the following bills and write the total amount on the line.
1)6 twenties, 5 tens, 8 fives, and 4 ones = $_____________
2)1 fifty, 12 twenties, 4 fives, 1 ten = $_____________
3)Add the group of 16 numbers together and put the total on the line below each group of 16 numbers.
42 22 36 23
51 32 29 72
77 43 24 52
33 21 48 31 Total = _____________
4)What is the decimal equivalent of 2%? Circle the correct answer.
20 2 .2 .02 .002
5)Which of the following are fractional equivalents of 2%. Circle the correct answer. 1/2 2/10 2/100 10/2
6)What is 15% of $100.00? $________________
7)Divide: 2130 ÷ 24.5 ÷ 10 = ________________
8)Add: 19 + 12½ + 18.25 = ________________
9)Subtract: 882.6 - 159.45 = _________________
10)How many days are there from June 2 to August 19, counting both days? ________
11)Four employees submitted the following time sheets:
Employee #1 28.5 hours Employee #2 15.0 hours
Employee #3 32.5 hours Employee #4 31.0 hours
What is the average number of hours worked? _____________
12)The highest paid of the 4 employees above earns $10.50 per hour and worked the least number of hours. The lowest paid of the 4 employees earns $8.25 per hour and worked the most hours. What was the gross pay for each of these two employees?
Gross pay, highest paid ___________ Gross pay, lowest paid ___________
13)Write the following number on the line provided. Be sure to insert commas where applicable. Sixty billion, three hundred thousand __________________________
