Fillable Printable Yogurtland Application Form
Fillable Printable Yogurtland Application Form
Yogurtland Application Form
Retail - Employment Application
Desired Location :
Applicant Information
Full Name:
Date:
Last First M.I.
Address:
Street Address
Ap
artment/Unit #
Cit
y
State ZIP Code
Phone:
( )
E-mail Address:
Date Available:
Position Applied For:
Desired Salary:
$ hr
Availability:
( What hours
can you work )
MON TUE WED THUR FRI SAT SUN
FROM
TO
Are you at least 18 years of age?
YES
NO
If no, you may be required to provide a work permit upon hire.
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever worked for this company?
YES
NO
If yes, when?
Have you ever been convicted of a felony?
YES
NO
If yes, explain:
Education
High School:
Address:
Did you graduate?
YES
NO
Degree:
College:
Address:
Did you graduate?
YES
NO
Degree:
Other:
Address:
Did you graduate?
YES
NO
Degree:
References
Full Name:
Relationship:
Company:
Phone:
( )
Address:
Full Name:
Relationship:
Company:
Phone:
( )
Address:
Previous Employment
Company:
Phone:
( )
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
( )
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
( )
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Employment Test ( No Calculator Please )
1. Which number should com e next? 144 121 100 81 64
2. A boy is 4 years old and his sister i s three times as old as he is.
When the boy is 12 years old, how old will his sister be?
3. x89 4. - 4.7689 5. +5467 6. +2622
x98 - 5.4567 +4852 +2622
++765
+9236 -5624
7. What is the best quality that you possess, which would greatly contribute to YOGURTLAND?
8. A customer states that he was short in change by receiving only 45¢ change inst ead of 54¢.
What would you do?
9. As far as YOGURTLAND is concerned, please prioritize the following from most important to least important.
(Great Product, Quick and Friendly Service, Comfortable Environm ent) Explain.
10. If you are asked to extend your duty for 2 more hours, at the same time you are suppose to catch a movie with
your friends, what would you do?
Disclaimer and Signature
The Secretary of Health and Human Services has determined that certain diseases, including hepatitis A,
salmonella, shigella, staphylococcus, streptococcus, giardia, E.Coli, and campylobacter 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 function s of this job?
Yes / No If yes, explain :
1) I certify that I have read and fully completed all three (3) pages of this application and that the
information contained on this application is correct to the best of my knowledge and understanding
that any omission or erroneous information is grounds for dismissal in accordance with
YOGURTLAND’s policy.
2) I authorize the references listed on this application to provide any and all information concerning my
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 same.
3) I acknowledge that YOGURTLAND reserves the right to amend or modify the policies in its
Handbook and other YOGURTLAND policies at any time, without prior notice. These policies do not
create any promises or contractual obligations between YOGURTLAND and its employees. At
YOGURTLAND, my employment is at will. This means that I am free to terminate my employment at
any time, for any reason, with or without cause, and YOGURTLAND retain s the same rights.
Signature:
Date:
YOGURTLAND is an Equal Opportunity Employer. Various Federal, State and Local laws prohibit
discrimination on account of race, color, religion, sex, age, national origin, disability, or veteran status.
It is YOGURTLAND’s policy to comply fully with these laws, as applicable, and information requested
on this application will not be used for any purpose prohibited by law.
