Phone 706-367-0319
Email: swirleesjefferson@gmail.com

Application For Employment
APPLICANT INFORMATION
Full Name
Date
Street Address
City
State
Zip
Phone
Email
Date Available
Desired Pay
Position Applied For
Are you a citizen of the United States?
If no, are you authorized to work in the United States?
Have you ever worked for this company?
If so, when?
Have you ever been convicted of a felony?
If yes, explain:
AVAILABILITY
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many hours do you wish to work per week?
EDUCATION
High School
From
To
Did you graduate?
College
From
To
Did you graduate?
Name
REFERENCES (Please list three non-family references.)
Name
Phone
Name
Phone
Phone
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Pay
Ending Pay
Responsibilities
From
To
Reason for Leaving
May we contact you previous supervisor for a reference?
In 50 words or less, please tell us why you would be the ideal candidate for this position.
DISCLAIMER
By submitting this completed form, I attest that the information provided in this Application of Employment is true, correct, and complete.  If employed, any misstatements or omissions of fact on this application may result in my dismissal.  I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.  I understand that Swirlee's Frozen Yogurt is an Equal Opportunity Employer.  No question on this application form is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.  Equal access to employment, services, and programs is available to all persons.
Company
Phone
Address
Supervisor
Job Title
Starting Pay
Ending Pay
Responsibilities
From
To
Reason for Leaving
May we contact you previous supervisor for a reference?
How did you hear about us?