EMPLOYEE APPLICATION

Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Email *

Birth Date *

Tell us about yourself. *

Multiple Choice

Job Fair
Family or Friend
Social Media
Other

AVAILABILITY

How many hours would you like spring (March-May): *

Please list your general availability for spring (March-May):

How many hours would you like summer (June-August): *

Please list your general availability for summer (June-August):

How many hours would you like spring (March-May): *

Please list your general availability for fall (September-November):

Will you have any other jobs this season? If yes, please describe the type of work and your expected hours:

Are you involved in school, extracurricular activities, or family commitments that could impact your availability? Please describe:

Will you be available for night shifts (5pm -11:59 pm)? *

Will you be available for weekend shifts (Friday, Saturday & Sunday)? *

Do you have any planned vacations or extended time off during the season (including college visits)? If yes, please list dates:

School Most Recently Attended

School Name *

City & State *

Phone *

Teacher Reference *

Last Grade Completed *

Grade Point Average *

Job or Personal Reference

If a job is not applicable, list U.S. military service, work performed on a voluntary basis or personal references.

1

Company 1 *

Location *

Phone *

Job Position *

Supervisor *

First and Last Name

Dates Worked *

FROM ____ TO ____

Salary *

Reason For Leaving

If applicable.

2

Company 2

Location

Phone

Job Position

Dates Worked

FROM ____ TO ____

Supervisor

First and Last Name

Salary

Reason For Leaving

If applicable.

In the Work Place

In what areas of the shop are you interested working?

Item Production
Scooping/Customer Service
Prep & Set-up
Cleaning & Scooper Assistant

What do you hope to accomplish personally and professionally while working at Katie’s Ice Cream this season?

What skills or experiences would you like to gain or improve upon?

How do you see yourself contributing to our shop’s success and positive atmosphere this year?

1. I certify that the information on this application is correct to the best of my knowledge and understand that deliberate falsification is grounds for dismissal in accordance with the policies of KGGK, Inc d/b/a Katie’s Homemade Ice Cream. 2. I authorize the references listed above to give you any, and all, information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. 3. I acknowledge that, if I become employed, I will be free to terminate my employment at any time for any reason and that KGGK Inc d/b/a Katie’s Homemade Ice Cream retains the same rights. No representative of KGGK Inc. d/b/a Katie’s Homemade Ice Cream has the authority to make any contrary agreement. *

I agree.

Thank you for taking the time to complete this questionnaire!

We will be reviewing applications carefully and will reach out with next steps for those selected to move forward in the process for this coming season.