Employment

Date

Age

First Name

Last Name

Shore Address

City

State

Zip

Mailing Address

City

State

Zip

Phone

Cell

SS#

Date of Birth

Referred By

Date You Can Start

Requested Hourly Wage $

Are you Employed?
YesNo

Can we inquire with your present employer?

Last Two Employers:

From

To

Name and Address of Employer:

Manager

Telephone

Reason for Leaving

From

To

Name and Address of Employer:

Manager

Telephone

Reason for Leaving

Can you work weekends?YesNo

Can you work holidays?YesNo

Are there any days you cannot work?

Do you have any experience working in retail?YesNo

If Yes please explain

Do You have experience working with ice cream and sweets?YesNo

If Yes please explain

Please upload a video with a brief description of your self. Don’t be afraid to show your true personality

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