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INSTRUCTIONS
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This application is intended for use in evaluating your qualifications
for employment.
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Please answer all questions completely and accurately.
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All applications will receive consideration without discrimination
based on sex, marital status, race, color, age, creed, national origin,
sexual orientation, military reserve membership, ancestry, religion,
height, weight, use of guide or support animal because of blindness,
deafness or physical handicap or the presence of disabilities.
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LOCATION
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Store you are applying to *
Lordstown
Newton Falls
Both |
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PERSONAL
INFORMATION
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Name *
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Address *
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City, State, Zip *
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Primary Phone *
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E-Mail Address *
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Position Applying for
General Manager
Assistant Manager
Shift Leader
Grill Staff
Chill Staff
Cake Decorator
Any |
If you are under 18 years of age please indicate birth date
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Have you ever worked for Dairy Queen in any capacity before?
Yes
No |
If YES, please indicate when & where.
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Can you perform the essential functions for the position for which
you are applying?
Yes
No |
In NO, please describe limitations.
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Are you legally eligible for employment in the USA? (Proof of citizenship
or immigration status will be required within 3 days of hire)
*
Yes
No |
Have you ever been convicted of a felony or misdemeanor? *
Yes
No |
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AVAILABILITY
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Type of work desired - *
Full Time
Part Time
Shift Work
Temporary
Any |
Date you are available to start - *
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I am available to work the following: *
Morning
Afternoon
Evening
Weekdays
Weekends
Holidays
Anytime Needed |
Do you have transportation? *
Yes
No |
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EMPLOYMENT
HISTORY
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CURRENT OR MOST RECENT EMPLOYER
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May we contact your current employer?
Yes
No |
Name
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Phone
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Positions/Duties:
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Reason for leaving:
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EDUCATION
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Last year of education completed?
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High School - City & State
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College/University - City & State
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Business/Technical School - City & State?
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REFERENCES
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Please list only persons who are familiar with your work capabilities.
DO NOT list relatives.
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Name
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Phone
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Address
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Relationship
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Years known
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Name
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Phone
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Address
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Relationship
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Years known
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APPLICANT
AUTHORIZATION
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1. I certify that the answers given herein are true and complete
to the best of my knowledge and are subject to confirmation by Lordstown
or Newton Falls Dairy Queen
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2. I hereby acknowledge notification that, in compliance with the
Fair Credit Reporting Act, that we may take such investigations and
inquiries of my personal, employment, financial, or other related
matters as may be necessary in arriving at an employment decision.
I hereby release employers, schools, and all other persons contacted
from all liability.
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3. In the event of employment, I understand I am applying for employment
which can be terminated at will by either myself or Lordstown / Newton
Falls Dairy Queen at any time and that nothing contained in any application,
manual, brochure, or other Dairy Queen materials shall constitute
an implied or expressed contract for employment. I also acknowledge
that Dairy Queen may request previous employment information to evaluate
my qualifications for employment. I understand that false or incomplete
information in an application for employment is grounds for dismissal
and forfeiture of all related benefits. I understand that I am required
to abide by all company rules and regulations.
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4. I also understand and agree that Lordstown/Newton Falls Dairy
Queen supports a Drug Free Workplace and as such may require me to
submit to a drug test as a condition of employment or continued employment.
These drug tests may be administered at any time. Refusal to submit
to any drug test will disqualify an applicant or will result in termination
of a current employee.
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I have read and understand all of the information provided above
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By typing your name and entering the date in the spaces below you
agree that you are electronically signing this employment application
Yes
No |
Applicant Signature *
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Current Date *
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