Job Application
Gold Top Dairy Bar
2810 Blue Rock Road
Cincinnati, Oh 45239
Phone
513-741-2941
Email Goldtopdairybar@aol.com
Personal Information
Last
First
Street Address
City
Are you entitled to work in the United States?
MI
SSN#
Email
ST
Zip
Home Phone
Are you 16 or older?
If yes, Date of Birth
Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years?
Military Service?
Mobile
If yes, please explain:
Branch
What position are you applying for?
How did you hear about this position?
Expected Hourly Rate
Expected Weekly Earnings
Date Available
Current or Most Recent
Prior
From
From
Prior Work Experience
Prior
Employer
Address
City, ST, ZIP
Telephone
Name of Immediate
Supervisor
Dates of Employment
To
To
From
To
Degree
Major
Position/Job Title
Pay
Reason for Leaving
May We Contact
Education
Name/Location
High School
College/University
Last Year Complete
9
10
11
12
2
3
4
1
Trade School
Other
List any applicable special skills, training
or proficiencies.
Disclaimer - By signing, I hereby certify that the above information, to
the best of my knowledge, is correct. I understand that falsification of
this information may prevent me from being hired or lead to my
dismissal if hired. I also provide consent for former employers to be
contacted regarding work records.
Job Application Form Template © 2014 Vertex42 LLC
Signature
Date
http://www.vertex42.com/ExcelTemplates/job-application-form.html
Our Hiring Requirements
As much as we’d love to allow everyone the flexibility to work whenever most
convenient for them, the reality of our business is that most of our customer
traffic occurs in the evenings and on the weekends, especially weekend nights.
Those are the important times when we need availability to work. We will try to be
as flexible as possible in scheduling around school schedules. A job requirement is
that you must be available to work at least one weekend night every week. If you
cannot commit to this, do not apply. Our minimum scheduling requirement for
new hires is that you work one weekend closing shift, and one weekday closing
shift. If you are hired and are unable to fulfill this requirement, you will be taken
off the schedule.
How many hours per week would you like to work in the spring?
(March-May) _______________
in the summer?(June-September) ____________________
Please list the times you are available to work on the chart below:
Spring hours: Noon-9:00pm Summer hours: Noon-10:00pm
Please read our hiring requirements before filling out. Keep in mind most of our
evening shifts are 5pm to close or 7 pm to close.
During
Spring
From
Monday
XXXX
Tuesday
XXXX
Wednesday
XXXXXX
Thursday
XXXXX
Friday
XXXX
Saturday
XXXXX
Sunday
XXXXX
XXXX
XXXX
XXXXXX
XXXXX
XXXX
XXXXX
XXXXX
To
During
Summer
From
To
Job Application Form Template © 2014 Vertex42 LLC
http://www.vertex42.com/ExcelTemplates/job-application-form.html
Do you have transportation to work? ____________________
List any spring activities you participate in that would limit your availability.
(Examples: sports, clubs, church groups)
___________________________________________________________________
___________________________________________________________________
List any summer activities you participate in that would limit your availability.
(Examples: sports, clubs, church groups)
___________________________________________________________________
___________________________________________________________________
Do you have any summer vacations planned? If so, what are the dates?
______________________________________________________
Working at an ice cream shop looks like fun from the outside, but it is hard work.
The customers can be demanding. It gets hot. There is a lot of pressure and you
have to work at times when your friends don’t. You have to be willing to pick up
trash, wash dishes, sweep, mop and clean bathrooms. If you think you can handle
the pressure of working in a fast paced environment like this, tell me in a few
sentences why you still want to be a part of our team.
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Job Application Form Template © 2014 Vertex42 LLC
http://www.vertex42.com/ExcelTemplates/job-application-form.html