Fillable Printable Baskin Robbins Application Form
Fillable Printable Baskin Robbins Application Form
Baskin Robbins Application Form
Location PreferenceDate
Personal Information
Name (Last, First)Are you legally allowed to work in the US?
Present AddressCityStateZip
Permanent AddressCityStateZip
Home PhoneCell PhoneHave you ever been convicted of a felony?
If yes, explain
Desired Employment
PositionStart DateSalary Desired
Have you ever worked for Baskin Robbins?Reason for Leaving
If yes, dates?
Are you employed now?If so may we inquire of your present employer?
Hours Available
MonTueWedThuFriSatSun
From
To
Duties unwilling to perform
Education
SchoolName and Location of SchoolDates: From/To Graduated
High School
College
Trade, Business
School
References
NameAddressTelephoneRelationship
Employment Application
Employment Application
YesNo
YesNo
YesNo
YesNo
Yes
No
Yes
Yes
Yes
No
No
No
Employment History
List below 3 employers starting with the most recent one
Name of EmployerReason for leaving
AddressCityStateZip
Starting DateLeaving DateWeekly Starting SalaryWeekly Ending Salary
May we contact your supervisor?Name of SupervisorTitlePhone Number
Job title and description of duties/responsibilities
Name of EmployerReason for leaving
AddressCityStateZip
Starting DateLeaving DateWeekly Starting SalaryWeekly Ending Salary
May we contact your supervisor?Name of SupervisorTitlePhone Number
Job title and description of duties/responsibilities
Name of EmployerReason for leaving
AddressCityStateZip
Starting DateLeaving DateWeekly Starting SalaryWeekly Ending Salary
May we contact your supervisor?Name of SupervisorTitlePhone Number
Job title and description of duties/responsibilities
Certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, streptococcus, giarda, E. coli and campylobacteria
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?
If yes, explain.
1) I certify that I have read and fully completed both pages of this application and that the information contained on this
application is correct to the best of my knowledge.
2) If this application and interview leads to employment, I understand that any erroneous or misleading information in this
application or interview is grounds for dismissal.
3) I authorize the references listed in this application to provide any information concerning 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 this information.
SignatureDate
4) You are applying for work with a franchisee of Baskin-Robbins, not Dunkin’ Brands, Inc. or any of its affiliates. If hired, the franchisee will
be your only employer. Franchisees are independent business owners who set their own wage and benefit programs that can vary among
franchisees.
YesNo
Yes
No
Yes
No
Yes
No
