LOVE IN A CUP FROZEN YOGURT BAR

Employment Application

APPLICANT INFORMATION
Last Name First M.I. Date

Street Address Apartment/Unit #

City State ZIP

Phone E-mail Address

Date Available Social Security No. Desired Salary

Position Applied for

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 so, when?

Have you ever been convicted of a felony? YES NO If yes, explain

EDUCATION
High School Address

From To Did you graduate? YES NO Degree

College Address

From To Did you graduate? YES NO Degree

Other Address

From To Did you graduate? YES NO Degree

REFERENCES
Please list three professional references.

Full Name Relationship

Company Phone

Address

Full Name Relationship

Company Phone

Address

Full Name Relationship

Company Phone

Address
 LOVE IN A CUP FROZEN YOGURT BAR
Employment Application

PAGE 2
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

AVAILABILITY

MON TUES WED THU FRI SAT SUN Summer___________ School Year _____________ All Year ________________

FROM Minimum number of hours needed to work ______________________________

TO
Maximum number of hours able to work ________________________________
 LOVE IN A CUP FROZEN YOGURT BAR
Employment Application

PAGE 3
DISCLAIMER AND SIGNATURE
I understand that I am applying for employment at this particular Love In A Cup location only. I further understand that
completion of this application does not indicate that there are any positions currently open and does not obligate the owners to whom I am
submitting this application to hire me.
I certify that all of the answers given in this application are true and complete to the best of my knowledge and that I have
personally completed this application. I understand that providing false or misleading information or omitting pertinent information in
my application or a job interview shall be grounds for rejection of this application or for immediate discharge if I am employed.
I understand that if I am employed, my employment will be for no definite period of time. I understand that my employment
may be terminated at-will with or without cause, and with or without notice, at the option of the owners.
I authorize all persons or businesses contacted by or on behalf of Love In A Cup about me or my application to disclose any
and all performance reviews, reports, and other documents and information related to my background, work history and
qualifications, without giving me prior notice of such disclosure. I also authorize the persons named herein as references and
others of whom the owners of Love In A Cup Frozen Yogurt Bar may inquire about my background to provide the owners with any
pertinent information they may have regarding me. By signing below, I fully release the owners of Love In A Cup Frozen Yogurt Bar, my
former employers and all other persons, and businesses from any and all claims, demands or liabilities arising out of or in any way related
to such references or disclosures.

Signature Date

THIS LOVE IN A CUP FROZEN YOGURT BAR IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER AND CONSIDERS ALL APPLICANTS WITHOUT
REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, ANCESTRY, CITIZENSHIP, SEX, PREGNANCY, AGE, PHYSICAL OR MENTAL DISABILITY,
GENETIC INFORMATION, SERVICE IN THE UNIFORMED SERVICES, OR ANY OTHER BASIS PROTECTED BY FEDERAL, STATE OR LOCAL LAW.