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Fillable Printable Dairy Queen Job Application Form

Fillable Printable Dairy Queen Job Application Form

Dairy Queen Job Application Form

Dairy Queen Job Application Form

Dairy Queen West
2600 West Cumberland St.
(717) 272
-
8786
Lebanon Valley Mall DQ
(717) 272- 8786
RETURN APPLICATION
SEALED IN THE
PROVIDED ENVELOPE
EMPLOYMENT APPLICATION
We are an equal opportunity employer. No question is asked for the purpose of excluding any applicant due to race, creed, color, national
origin, age, sex, veteran status, disability, or any other class of individuals protected by law.
PERSONAL
Social Security Number Last Name First Name Middle Name
Current Mailing Address Street City State Zip
Permanent Address (if different from above) Street City State Zip
Phone Number Cell Phone Number (if applicable) Date of Birth:
Are you Legally authorized to work in the United States?
Yes
No
POSITION APPLYING FOR
Hrs.Available
M T W Th F S Su
From
To
Date Available: Salary Acceptable
Per Hour:
TOTAL HOURS
Available Per Week
Are You Interested In:
Full
Part
Temporary
Seasonal
Have you ever worked in a fast food franchise before?
Yes
No
If yes, for whom? _________________________________
From ____/_____/________ to ____/____/_________
Who Referred You To This Job? Phone Number
Have you ever been convicted for a crime other than a major traffic violation?
(This information will be considered in hiring or job placement but
will not automatically disqualify you for employment)
Yes
No If Yes, Explain:
EDUCATION
Highest Grade Completed
7 8 9 10 11 12
Post Secondary
1 2 3 4
Other (Specify) Grade Point Average
ACTIVITIES
Class Organizations, Scholastic Honors, and other school activities
(At your option, you may exclude organizations which indicate race, age,
sex, creed, color, national origin, religion, or other protected class.)
Hobbies and Recreational Interests
EMPLOYMENT RECORD
Name & Address of Present Employer Employment Dates
From ____/_____/________ to ____/____/_________
Supervisor’s Name Title Phone Position Starting Salary Final Salary
Reason for Leaving
May we contact this employer?
Yes, Immediately
Yes, at a Later Date
No, do not contact
Name & Address of Most Recent Employer
(if other than present, if applicable)
Employment Dates
From ____/_____/________ to ____/____/_________
Supervisor’s Name Title Phone Position Starting Salary Final Salary
Reason for Leaving May we contact this employer?
Yes, Immediately
Yes, at a Later Date
No, do not contact
OFFICE USE ONLY:
INTERVIEW DATE AND TIME: ___/____/____ ____:____ DATE HIRED: ____/____/____
Dairy Queen of Palmyra
5 North Londonderry Square
(717) 838
-
5900
By Signing below, I authorize the store owner to investigate all statements made by me on this application
form. I understand that misstatements or omissions of information in connection with my application fore
employment can lead to rejection of my applications or dismissal from employment, whenever discovered. I
also authorize the store owner to request and receive references from my former employers and I hereby
release those employers supplying any information from liability.
I understand that nothing contained in this employment application or in the granting of an interview is intended
to create an employment contract between the store owner and myself for either employment or the providing
of any benefits. No promises regarding employment have been made to me and I understand that no such
promise or guarantee is binding upon the store owner unless expressly made in a formal written contract of
employment signed by me and an authorized representative of the store owner. If I am hired, I understand that
my employment would be “at will,” which means that I would have the right to terminate my employment at any
time for any reason and that the store owner would have the same right.
I hereby attest that all statements made by me above are true to the best of my knowledge.
Date __________________ Applicant’s Signature _________________________________________
Date __________________ Manager’s Signature _________________________________________
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