JAMBA JUICE EMPLOYMENT APPLICATION
PERSONAL INFORMATION
Last Name First Name Middle Name Email
________________________________________________________________________________________________________________
Phone Number ( _______ ) _______ - _________
Address
( _______ ) _______ - _________
________________________________________________________________________________________________________________
City State Zip
________________________________________________________________________________________________________________
1. What position are you applying for? _______________________________________________________
Full time Part time
2. Are you 16 years of age or older? Yes No
(For Team Members under age 18 a work permit is required)
3. Have you ever worked for Jamba Juice? If yes, please list dates and location(s):
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
4. Can you, upon employment, submit verifi cation of your legal right to work in the U.S. and documentation verifying your identity? Yes No
AVAILABILITY (Stores only)
Total available work hours per week: ____________
Are you willing and available to work at any other Jamba Juice locations?
Yes No
If yes, where: ______________________
Please tell us your weekly availability:
FROM
TO
JJ008011 Rev. 01/08
Home
Work
Home
Work
Yes No
5. Have you ever been convicted of a crime (except minor traffic violations)?
(Applicant may omit any convictions that have been sealed, expunged or eradicated. In addition, any convictions for the possession of marijuana that are more than two (2) years old,
and any information concerning a referral to and participation in any pretrial or post trial diversion program may also be omitted.)
If Yes, please list convictions that are a matter of public record except as stated above:
(Arrests are not convictions. No applicant will be denied employment solely on the ground that he/she has been charged with, committed, or convicted of [or pleaded guilty or no contest
to] a criminal offense. The nature surrounding the circumstances and relevance of the offense to the position(s) applied for will be considered.)
________________________________________________________________________________________________________________
Company Name, Address, Phone Number
From To
Mo/Yr Mo/Yr
Position Title Starting
Salary
Ending
Salary
Reason for Leaving
Email Address Phone # Years AcquaintedRelationshipemaN
School
High School
College (Undergraduate)
Graduate School
Trade, Business, Correspondence School
Other Training, please specify
Name of School
Graduated
Yes / No
EDUCATION
EMPLOYMENT INFORMATION
Starting with your most recent job, please list present and past employment. All information is required.
PROFESSIONAL REFERENCES (Provide three)
APPLICANT’S STATEMENT
JAMBA JUICE IS AN EQUAL OPPORTUNITY EMPLOYER. PLEASE READ THE FOLLOWING STATEMENT CAREFULLY.
I declare under penalty of perjury that I personally completed this application and that, to the best of my knowledge, the information contained
in this application is true and complete. I understand that any false information or signifi cant omissions may disqualify me from further
consideration of employment and, in the event I become employed, may result in the termination of my employment if discovered at a later
date. I understand and agree that nothing contained in this application is intended to create an employment contract between me and the
company. I also understand and agree that if I am hired, my employment with the company will be at will, and may be terminated by either me
or the company at any time, with or without cause or advance notice. I understand that no promises or representations to the contrary will be
binding on the company unless made in writing signed by both me and the Chief Executive Offi cer of the company.
____________________________________________________________________ ________________________________________
Applicant Signature Date
City & State
Yr
Degree / Major
click to sign
signature
click to edit
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