EMPLOYMENT APPLICATION AN EQUAL OPPORTUNITY EMPLOYER

NOTICE: Applicants should read the following information carefully before filling out any of the questions in this form. Title VII of the Civil Rights Act of 1964, as amended, prohibits discrimination in employment because of race, color, sex, religion, or national origin. It is also illegal to discriminate in emplolyment of persons because of their age, if over forty years old, or because of a handicap, disability, marital status, or unfavorable military discharge.
Store You're applying for Select One Joplin, Missouri Fayetteville, Arkansas Rogers, Arkansas Destin, Florida
Name
	Last	First	Middle
Address
	Street
	City	State	Zip Code
Telephone Number		Email Address
Position Applying For: Full-Time       Part-Time
Hours of Availablity Day Sun Mon Tues Wed Thurs Fri Sat From To
Number of hours desired per week?
Specific reason why you want part-time/full-time work and number of hours indicated?
Have you ever applied to or worked here before? Yes No   If "Yes", when?
Why are you applying for work here?
Are you 16 years or older? Yes No   (If under 18, hire is subject to verification of age)
Do you have a very reliable way to get to work? Yes No
Are you authorized to work in the United States? Yes No   (Documentation is required)
Have you ever been convicted of a crime other than minor traffic violations? Yes No
If you have been convicted, give date(s), nature of crime(s), when and where convicted, and disposition of the case
NOTE: No applicant will be denied employment solely on the grounds of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position applied for may, however, be considered.

Education
High School	Highest Level Completed
College or University (If Applicable)	Highest Level Completed

Previous Job Experience Place of Employment Supervisor Dates Rate of Pay Reason for Leaving

References
List below 2 persons you have known at least one year. DO NOT LIST RELATIVES OR PREVIOUS EMPLOYERS.
Name		Telephone Number
Address
	Street	City	State	Zip
Name		Telephone Number
Address
	Street	City	State	Zip

	I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time lapsed before discovery.
	I understand that to be employed I must be lawfully authorized to work in the United States and I must show the employer documents that will prove this.
	I understand that the company, Shake's Frozen Custard, will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, in interviews, and through credit checks. I authorize all individuals, schools, credit reference organizations, and firms named therin, except my current employer if so noted, to provide any information requests about me, and I release them from all liability for damage for providing this information.
	I understand that nothing contained in this application or conveyed during any interview which may be granted is intended to create any employment contract between me and the company, Shake's Frozen Custard. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, Shake's Frozen Custard, and that no promises or representations contrary to the foregoing are bidning on the company, Shake's Frozen Custard, unless made in writing and signed by a qualified Representative of Shake's Frozen Custard.

Signature
	By typing your name on the line above you are signing this application.