Web
Form
Employee Application
Fields marked with
*
are required.
Full Name
*
Street Address
*
City
*
State
*
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
Armed Forces Americas (AA)
Armed Forces Europe / Middle East / Canada (AE)
Armed Forces Pacific (AP)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (MP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon Territory (YT)
Zip Code
*
Telephone
*
E-mail Address
*
Have you ever worked for YOGURT STOP before?
*
No
Yes
Are you 18 years of age or over (proof of age or work permit may be required)?
*
No
Yes
If not 18 years old, birthdate?
Are you legally able to be employed in this country (if hired, verification will be required by law)?
*
No
Yes
Have you been convicted or pleaded guilty to a crime in the past 7 years?
*
No
Yes
If yes, please explain:
Are you willing to take a drug test?
*
No
Yes
What type of position are you seeking?
Part-Time
Full-Time
Seasonal
Temporary
Total hours available per week?
Date available to start?
We are open Sundays during the summer. Are you able to work Sundays?
*
Choose One
Yes
No
Please list days and times not available to work:
Education Level
in High School
High School Diploma
in College
College Graduate
High school name, city, state, dates attended?
College name, city, state, dates attended, major/minor?
Please list other relevant skills, specialized training and activities:
Most recent employer company name, address, city, state?
Job Title
Supervisor's name and phone number?
Date Started
Date Left
Salary/Wage Start
Salary/Wage End
Reason for leaving?
May we contact this employer?
No
Yes
Second most recent employer company name, address, city, state?
Job Title
Supervisor's name and phone number?
Date Started
Date Left
Salary/Wage Start
Salary/Wage End
Reason for leaving?
May we contact this employer?
No
Yes
First reference's name, phone number, relationship, years known:
Second reference's name, phone number, relationship, years known:
Please list any other additional information you would like to provide:
I agree that the information that I have provided above is true and correct to the best of my knowledge.
*
(check here)
Signature (type name):
*
Security Text
*
regenerate
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