1

Full Name: First Name M.I. Last Name

Address:

Date:

Current Street Address Apartment/Unit #

City State ZIP Code Phone: Email

Social Security Number: Date you are available to start

Are you a ci zen of the United States? YES NO

Have you ever been convicted of a felony?

YES NO

If yes, explain:

Educa on

High School: From: To:

Did you graduate? YES NO

College:

Major (or planned Major):

Employment Applica on

From: To:

Your Informa on

ti

2

Your References

References

Please list two personal or professional references (not immediate family).

Full Name: Relationship: Company: Phone: Address:

Your Previous Employment

Company: Phone: Address: Supervisor:

Job Title:

Responsibilities:

From: To: Reason for Leaving:

May we contact your previous supervisor for a reference?

YES NO

Company: Phone: Address: Supervisor:

Job Title:

Responsibilities:

From: To: Reason for Leaving:

May we contact your previous supervisor for a reference?

YES NO

Full Name: Relationship: Company: Phone: Address:

3

When would you ideally like to work at the Shaved Ice Bar

If you were to pick the perfect 20 hours of work (or less if you choose to work less), what would be your ideal day(s) and hours (make sure to select am or pm)?

Monday from: to:

The Shaved Ice Bar's Hours of Opera on:

Monday – Thursday 11:00AM to 12:00am

Friday and Saturday 11am to 3:00am

Sunday 11:00am to 6:00pm

Tuesday from: to:

Wednesd :morf ya to:

Friday from: to:

Saturday from: to:

Sunday from: to:

4

We would like to know more about you If your best friend were to describe you, he or she would say:

What do you think is your most positive character trait?

What do you think is your least favorable character trait?

If music was played at your workplace at volumes a bit louder than typical ambient background music, how would you feel about that music after 6 hours of work?

Does music mean something to you? If so, how does listening to your favorite music make you feel (there are no wrong answers to this question)?

Do you have a favorite Musical Artist? If so, who is it?

Do you have a favorite musical genre (country, pop, rap, hip hop, rock, jam)?,

What is your all-time favorite movie?

Answer this question: I am most happy when I

Your Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature: Date:

the shaved ice bar @ university village 19810 village center drive miromar lakes florida 33913