Employment History (List most recent one first)

Dates Worked Name & Address Of Employer Position Salary Reason for Leaving

_____to_____ ________________________________ __________ ______ _____________

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Education HistoryDates Attended Name & City of School Subjects Studed Did you Graduate?

_____to_____ ________________________________ _______________ ______________

_____to_____ ________________________________ _______________ ______________

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Personal ReferencesList any former employers, teachers, or friends that we may contact for a reference. No Relatives:

Name: ____________________ Telephone: _______________ Relationship: ________________

Name: ____________________ Telephone: _______________ Relationship: ________________

Name: ____________________ Telephone: _______________ Relationship: ________________

AuthorizationIn consideration as a candidate for employment, Golden Spoon Frozen Yogurt will rely on the information presented in this employment application as being truthful and accurate. I authorize Golden Spoon Frozen Yogurt to investigate all statements contained in this employment application. The results of this investigation shall be used to determine my suitibility for employment at Golden Spoon's complete discretion, either before or during employment. I hereby consent to the release of any information about my background, criminal record, credit history, previous employment, personal references, or scholastic records, and release these sources from any liability from same. I understand that any misrepresentation or omission of the facts discovered in this application, even if discovered after my employment with this company may be cause for dismissal, at the discretion of Golden Spoon.

I understand that if hired, I will be an "At-Will" employee. I will be subject to dismissal or disapline without notice or cuase, at the discretion of my employer. I am also free to quit at any time for an reason without notice. Any change to this "At Will" status can only occur in a written employment contract, signed by my employer.

Signature: _____________________________________ Date: ______________________

For Office Use Only: Call for Interview Interview Scheduled for _____________Interview Notes:

Background Checked Hired Salary: ________ Training Date: ___________

Work Schedule: ___________________________________________________________