Mon - Scooter`s Frozen Custard

$cooter's Frozen Custard
Employment Application Form
PLEASE PRINT ALL
Pfease rnail completed application to:
INFORMATIOT{
REQUESTED EXCEPT
1658 West Belmont
Date received:
"S*GS*ATT}RE
Chicago, 1L60S57
Revlewed by:
OFFICE U$E OHLY:
email application to:
scooter@scootersfrozencustard
.
PLEASE COMPLETE PAGES 1-5.
corn
DATE
Name
Present address
$tate
City
Social Securlty No-
Hour Long al current address?
Telephone
(
_
-#
E-Mail Address:
,l
Are you under age
Zip
13
YES
__NO,
if YES", can you provide proof of your eligibility to
-YES
Dayslhours available to work
Thur
No Pref
Fri
Mon
Tug #
W€d-
$at
-
$n#I
-
How many hours mn you work weekly?
Woyrnentdesircd
&FUI-L-T}ME
Ot{tY
$PART-TIME
$+AME OF SCFIOOL
ONLY
t}FUt-L- OR PART-TIME
Birth Date{ mmfddlW}
When are you available to start work?
TYPE OF $CF}$OL
N0
NO. Proof of eligibility will be required if hired.
Are you cunently authorized to work in the United States?
Position applied for (1)
and wage desired (2)
(Be specific)
work? YES
LOCATIO$*
{Complete mailing
address)
NUMSER OF YEAR$
COMPLETED
GFA&
DEGREE/MAJOR
{REQUIRED}
Hish Schoof
College
Bus. or Trade School
Professionat Sctrool
Ftaveyeu'eves beeneonvie*edot aerimerllhiehbsubstantblly related!oth€"fuff*ionsor +stiteationsof fteiobfor srltictl
(a Conviction record will not necessarily disqualify you from employment).
you are applying? tl
O
No
Yes
lf yes, explain number of convic{ion(s), nature of offense(s) leading to conviction(s), how recently such offense(s) wasArere
ess+rr*itte{ sentenee{s-} imp+sed artd type(+} of rehabitltstis$,
I
N
PLEASE PRINT ALL
FORN'IATION REQU E$TE D
E)CCEPT $TGIIIATURE
APPLICATION FOR EMPLOYMENT
DO YOU HAVE A DRIVER'S
LICENSE? fl Yes tr No
What is your means of transportation to work?
Driver's license
number
E Operator D Commercial (CDL) trChauffeur
State of issue
Expiration date
Have you had any accidents during the past three years?
Have you had any moving violations during the past three years?
How many?
How Many?
Please list huo references other than rehtlvesName
Name
Pwition
Pgsitioff
Company
Company
Address
Address
Teleptpr+e (. .
Pbeuse
)
Te$e$one
t_
.)
*rlsspace toelaborate er+anybaekground, experienee, orryalifiedionethat youbelbveshouldbeeotsieleredin
evaluating your qualifications fur employment. You may include hobbies, volunteer erperience and any other activities you
believe relevant. Please omit any information that would disclose your race, gender, age, marital status, ethnic origin,
rd[eftns or Bolitk;at affill{*ons, or dlsabil*y.
PLEASE PRINT ALL
INFORMATION REQUESTED
EXCEPT$+GNATURE
Work
Experience
Please list yourwork experience forthe pastseven yearc beginning with your most recent job held.
lf you were self-employed, give firm name. Attach additional sheets if neceosary.
Narne of employer
Address
Name of last
Employment dates
Pay or salary
supervisor
City, State, Zip Code
Phone number
From
$tart
To
Final
Your last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or leamed, advancements or promotions while you worked at this
company.
Narne of employer
Address
Name of last
supervisor
City, $tate, Zip Code
Phone number
Employment dates
Pay or salary
From
Start
To
Final
Your Last Job Title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or leamed, advancements or promotions while you worked at this
eornpa*y.
Name of last $upervisor
Name of employer
Address
City, State, Zip Code
Phone number
Your last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or leamed, advancements or promotions while you worked at this
company.
PLEASE PRINT ALL
I
NFORIUTATION REQU ESTED
EXCEPT SIGITATURE
APPLICATION FOR EMPLOYMENT
Work
experience
Please list your work experience for the past seven yearc beginning with your most recent job held.
lfyou were seff-empfoye6, gfve firm name. Attach additionaf sheets ff necessary.
Name of employer
Name of last
$upervisor
Address
City, State, Zip Code
Phone number
Employment dates
Pay or salary
From
Start
To
Final
Your last job title
Reason for leaving {be specific)
List the jobs you held, duties performed, skills used or leamed, advancements or promotions while you worked at this
eompafv.
Name of employer
Address
Name of last
Employment dates
Pay or salary
supervisor
City, State, Zip Code
Phone number
From
Start
To
Final
Your last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or leamed, advancements or promotions while you worked at this
company.
May we contact your present empfoyer?
[]
Did you complete this application yourself
f,l Yes
Yes
trNo
UNo lf not, who did?
PLEASE READ CAREFULLY
APPUCATIOT{ FORM WAVER
As indication tlmt you have rcad and undensbod each sentence, please write your initials in the
speces providedbefow
In exchange for the onsideration of my job application by Scoote/s Frozen Custrard, LLC, (hereinafter
called 'the Companf), I agree that:
Neither the acceptance of tfiis application nor the subsequent entry into any type of empbyment
relationship, either in the position applied for or any other position, and regardless of the contents of
employee handbooks, personnel manuals, benefit plans, policy statements and the like as they may exist
from time to tirne, or other Company practices, shall serve to create an actual or implied contract of
employment,_ or to confer any right to remain an employee Company X, or otherwise to change in any
respect the employment-at-will relationship betreen it and the undersigned. and that relationship
cannot be altered except by a written instrument signed by the Owner/Managing Member of the
Company-
BohfteundersignedandScoote/sFrozenGushd
LLGmay endtheemploymerf
relationship at any time, without specified notice or reason._ lf employed, I understand that lhe
Company may unilaterally change or revise their benefits, policies and procedures and such changes may
include reduction in benefit;_ and if employed, I understand that all policies and prooedures are
propriefiaryto theCornpanyandrnaymtbesharedorrtsidetheCompanyCwfngthe
emploJmentperiodor
thereafter._
I authorize investigation of all statcments contained in this application._ | underctand that the
misrepresefitatiun or omisston of facts ualhrd for fts cause irr dismissat at ary time wittrout any previous
notice._ I hereby give the Company permission to contact schools, all previous employers (unless
othenrise indicated), references and others and hereby release the Company from any liability as a result of
such
@ntact._
I understand that, in conneetion with the routine processing of your employment application, the Company
may request from a @nsumer reporting agency an investigative oonsumer report including information as to
my credit records, chanacler, general reputation, personal characteristics and mode of
Upon
written request from me, the Company, will provide me with additional informaiion mnceming the nature and
soope of any such report requested by it, as required by the Fair Credit Reporting
living._
Act._
| turther understand that my employment with the Company shall be probationary for a period of ninety (90)
days and further that at any time during the probationary period or lhereafter, my employment relationship
with the Company is terminable at willfor any reason by either party._
$ignature of applicant
Date:
Scootet's Frozen Custard, LLC is an equal employment opportunity employer. We adhere to a policy of
making employment decisions without regard to race, color, religion, gender, sexual orientation, national
origin, citizenship, age or disability. We assure you that your opportunity for employment with Scootefs
Frozen Custard, LLC depends solely on your qualifications.
Thank you for complefrng this appfrcafron form and for your interest in our business.