Fill - Free fillable Employment Application PDF form

Employment Application

For the Franchised Location(s)

Personal Info Date:

Last Name: First Name:

Current Address: City, State, Zip:

Phone: Email:

Do you have reliable transportation? What wage do you expect?

Are you eligible to work in the USA?

Yes

If you are younger than 18 years old, how old are you?

If you are younger than 18, please provide contact information for your parent or Guardian.

Last Name: First Name:

Phone: Email:

Availability

Check the option that best describes when the following availability is applicable:

During School Summer Break Foreseeable Future

Sun

Mon

Tue

Wed

Thurs

Fri

Sat

Clock In

Clock Out

How many hours per week are you expecting to work on average? (out of 40):

Continued to the next page…

FOR

PELICAN’S USE ONLY

Contact Attempt and Interview Notes:

Please list below all the lo

cation(s) at which you'd like to be considered for employment:

I am older than 18.

Yes

15-25

Any

Availability

If you expect changes to your availability as filled out on the previous page, please fill out this alternate set of available hours.

(E.G. Back to school, internship, school sport begins etc.)

Reason for change: Effective Date:

Sun

Mon

Tue

Wed

Thurs

Fri

Sat

Clock In

Clock Out

Employment History

(Include odd jobs such as babysitting, lawnmowing, or dog walking)

Have you ever worked at a Pelican’s SnoBalls before? If yes, which location?

Employer:

Address:

First Day

Last Day

Supervisor Name

Phone

Position

Wage

Reason for leaving:

Employer:

Address:

First Day

Last Day

Supervisor Name

Phone

Position

Wage

Reason for leaving:

Employer:

Address:

First Day

Last Day

Supervisor Name

Phone

Position

Wage

Reason for leaving:

Achievements

Please list any awards, certificates, leadership positions or any other achievements your proud of and want to show off:

Are you a veteran? Yes No

None

Education

High School (Last attended)

City/ State

Did you graduate?

Yes

College & Vocational School

City/ State Graduation Year & Major

Please list any extra-curricular activities that will restrict the time you are able to work:

If you are in High School, what are your current plans for when you graduate?

References

Please provide 3. May include current or past employers, supervisors, teachers, or any other individual familiar with your

qualifications.

Name

Address

Phone #

Relationship

Years Known

NOTIFICATION, AUTHORIZATION AND CERTIFICATION:

I am hereby notified that certain diseases such as Hepatitis A, E Coli 0157, Salmonella, Shigella, Staphylococcus,

Giardia, Streptococcus and Campylobacter will prevent me from handling food equipment until a clean bill of health is received

from my medical doctor. It is my obligation to Pelican’s SnoBalls to immediately notify my supervisor should I knowingly

become or believe that I am infected with any of these diseases.

I hereby authorize the former employers and references I have listed on this application to provide to Pelican’s

SnoBalls with any information that would be meaningful and relevant to this employment application and I release all parties

from all liabilities and/or damages that result from furnishing such information.

I hereby certify that I have fully read and have accurately completed this employment application to the best of my

knowledge. I acknowledge that any false information contained in this employment application may be grounds for Pelican’s

SnoBalls to disregard my employment application or to terminate my employment upon discovery of such false information.

I agree to read and follow the rules and regulations contained in the Pelican’s SnoBalls Employees Handbook that will

be provided to me upon my employment and which may be updated periodically by Pelican’s SnoBalls. I understand that

Pelican’s SnoBalls is an at-will employer and that Pelican’s SnoBalls may terminate my employment at any time for any

reason, with or without cause and that I also have these same rights with regard to terminating my own employment.

I understand that Pelican’s SnoBalls is an equal opportunity employer and that Pelican’s SnoBalls makes every effort

to comply with various federal, state and local employment laws, as applicable. I also understand that the information I have

provided in this application will not be used for any purposes(s) that are prohibited by law.

Print Name Si

gnature Date

You may email the completed application to us

or mail /drop-off a hard copy to the location at which you would like to be considered.

Fill Online, Printable, Fillable, Blank Employment Application Form

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Fillable Employment Application

Fill Online, Printable, Fillable, Blank Employment Application Form

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