Retail – Employment Application

[ .PDF ]

Please complete and submit the application below.

Applicant Information

Desired Location:*

Date:

Full Name:*

Address:*

City:*

State:*

Zip:*

Email:

Phone Number:*

Mobile/Other:

Are you at least 18 years of age?*

Yes

If no, you may be required to provide a work permit upon hire.

If NO, please explain:

Position Applied For:*

Days and Hours Available:*

Salary Expectations:*

Worked here before:*

Yes

If YES, When:

Are you a citizen of the United States?*

Yes

If no, are you authorized to work in the U.S.?

Yes

Type of employment:*

Full-Time

Part-Time

Temporary

Seasonal

Have you ever been convicted of a felony?*

Yes

If yes, explain:

Answering "yes" to this question does not constitute an automatic rejection for employment. Date of the offense, seriousness, and nature of the violation, rehabilitation and position applied for will be considered.

Summarize Your Special Skills or Qualifications:

Education

High School:

Address:

Did you graduate?

Yes

Degree:

College:

Address:

Did you graduate?

Yes

Degree:

Other:

Address:

Did you graduate?

Yes

Degree:

Previous Employment

Begin with most recent position.

Dates of Employment:

Positions(s) Held:

Firm / Company:

Address of Employer:

Phone Number:

Supervisor:

Title of Supervisor:

Your Responsibilities:

Starting Salary & Title:

Ending Salary and Title:

Reason for Leaving:

May we contact this employer for reference ?

Yes

Previous Employment

Dates of Employment:

Positions(s) Held:

Firm / Company:

Address of Employer:

Phone Number:

Supervisor:

Title of Supervisor:

Your Responsibilities:

Starting Salary & Title:

Ending Salary and Title:

Reason for Leaving:

May we contact this employer for reference ?

Yes

Military Service

Date of Service:

Branch:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Employment Test

No Calculator Please

Which number should come next? 144 121 100 81 64

A boy is 4 years old and his sister is three times as old as he is. When the boy is 12 years old, how old will his sister be?

88 x 98:

4.7689 - 5.4567:

5467 + 4852 +765 + 9236:

2622 + 2622 - 5624:

What is the best quality that you possess, which would greatly contribute to YOGURTLAND?

A customer states that he was short in change by receiving only 45¢ change instead of 54¢. What would you do?

As far as YOGURTLAND is concerned, please prioritize the following from most important to least important. (Great Product, Quick and Friendly Service, Comfortable Environment) Explain:

If you are asked to extend your duty 2 more hours, at the same time you are supposed to catch a movie with your friends, what would you do?

APPLICANT'S STATEMENT

AUTHORIZATION

The Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, 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.

1) I certify that I have read and fully completed all required information 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 anytime, for any reason, with or without cause, and YOGURTLAND retains the same rights.

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.

I agree to the AUTHORIZATION*