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Note: Please print out the application form below. To do this manually 'select' the text (left click and 'drag down' to highlight print area), start from Employment A... and drag down to the last word. Print in black text only ((print properties 'black text')); go to file>print>properties 'black text'>'print range>selection then >print. Please fax the form back to us.
Employment Application
Golden Spoon Frozen Yogurt
4437 Sepulveda Blvd. (at Anza)
Torrance California, 90505
attention: Stuart Nemiroff
www.goldenspoonsouthbay.com
store phone number: 310.540.3446
fax number: 310.750-6166 (only fax between 8am & 6pm Mon.~Sat.)
e-mail: stuart@goldenspoonsouthbay.com
PERSONAL:
Position applying for:__________________________eMail:__________________
Name:______________________________________________________________
Last name First name Middle
Address:______________________________________________________________________
Street City State Zip phone #_____________
Social security #______-_____-______are you over 18 years of age:___date available:________
Do you have legal right to remain and work in the United States? Yes:_______No:__________
After employment, can you submit proof of citizenship or legal entry into the U.S.Yes___No___
Have you ever been convicted of a felony? Yes:______No:_____a misdemeanor? Yes___No___
How did you find out about the job opening or Golden Spoon Frozen Yogurt? >>>>>
Company image______relative________friend________newspaper______other___________
Have you ever worked at a Golden Spoon? Yes___No____if yes, when____where_____Have you ever worked at a frozen yogurt shop or an Ice cream shop? Yes______No_______
Name of a friend or relative working for Golden Spoon_______________________________
WORK AVAILABILITY:
List your hours that you are available to work:
Sunday Mon. Tue. Wed. Thurs. Friday Sat. wages expected:________
Day:________________________________________________
Night:_______________________________________________ Total weekly hours
Desired____________
How will you get to work_______________
EDUCATION:
Circle last grade completed: High school: 1 2 3 4 College: 1 2 3 4
Name and address of last school attended:_________________________
Your special skills or training:___________________________________
Briefly explain why you want to work for Golden Spoon: _______________________________
__________________________________________________________________________
EXPERIENCE:
Employer: __________________Address:____________________Your position:____________
Supervisors name and phone number:_______________________________________________
May we contact him or her?_____________
Job description:_________________________________________________________________
Worked from:_________to:_____________starting salary:__________last salary:_____________
Reason for leaving:___________________________________________________________
Employer: __________________Address:_______________Your position: _______________
Supervisors name and phone number:_______________________________________________
May we contact him or her?_____________
Job description:_________________________________________________________________
Worked from:_________to:_____________starting salary:__________last salary:_________
Reason for leaving:___________________________________________________________
REFERENCES:
List two unrelated persons who have known you at least one year:
Name:_______________________________phone number:________________________
May we contact them?_______________
Name:_______________________________phome number:________________________
May we contact them?_______________
MEDICAL:
Do you have any physical condition which may limit your ability to perform the job applied for? Yes:________________No:_________________
Would you agree to a physical examination? Yes:_______No:_______
In the case of an emergency notify:
name:_______________________________address:__________________________
phone number:____________________
name:_______________________________address:__________________________
phone number:____________________
If I am considered for employment, I authorize any investigation of all my statements contained in this application. I authorize previous employers,
personal references or any other person to whom the company may refer to to give any and all information regarding my employment or scholastic
standing together with any other information, personal or otherwise that may not be on the record.
If I shall be employed I undeerstand that misrepresentation or omission of the facts requested, unsatisfactory references or failure to pass a prescribed
physical examination will be sufficient cause for dismissal from the company's service.
I also understand that I shall be employed on a 30 day probationary basis and that either of us may terminate our 'at will' work relationship for any
reason during this time. I may be discharged at any time for my inability to adapt myself to the requirements and duties of my employment.
Applicants signature:_______________________Dated:___________
Interview date:_________________
Applicants do not fill in below this line:
Interview date:_______________to start:_________________wages:_____________
position:__________________work permit: yes:____no:_______
managers signature:___________________________dated:___________________
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