Fillable Printable Noble Dairy Queen Stores Employment Application Form

Noble Dairy Queen Stores Employment Application Form

or Admission Number

Employment Application

Date:

Name: First, MI, Last

Address:

City & State:

Zip Code:

SS Number:

Home Phone: Please include area code

Cell Phone: Please include area code

Noble Stores Dairy Queen

Bourbonnais Store

121 S. Main Street

Bourbonnais, IL 60914

Phone: (815) 932-6441

www.noblestores.com

A Citizen or National of the United States

I Am: (Please check a box)

An Alien lawfully admitted for Permanent Resident

Alien Number

An Alien authorized by the immigration and Naturalization Service to work in the United States

Alien Number

Expiration of Employment Authorization, if any

Full-Time Part-time

Full or part-time

Hours Available to Work:

If No, please give your age and date of birth?

Are you 18 or Older?

Who referred you to this job?

Have you ever worked for Dairy Queen before?

Continue on

the next

page

Date available to begin work?

Yes No

Thurs

Sun

Sat

Fri

Wed

Tues

Mon

Email:

Please list any activities you are involved in:

(you may exclude organizations which indicate Race,

Creed, Color, National origin, or Religion)

Please list any previous employers (if any):

Are you working anywhere else at this time?

If no, leave blank, if yes, please list.

Name:

Who would we contact in case of an emergency?

Home Phone: Work/Cell Phone:

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 for employment can lead to rejection of my application or

dismissal from employment, whenever discovered. I also authorize the store owner to request references from my former employers.

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 of for 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 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 and that the store owner would retain a similar right.

I Hereby attest that all statements made by me above are true to the best of my knowledge.

Applicant Signature: Date:

Manager Signature: Date:

Education

Type of School Name of School No. Years Completed Major or Degree

High School

College Bus. or

Trade School

Have you ever been convicted of a crime other than a minor traffic violation?

NoYes

If yes, please explain below