M.I.

State

Are you able to perform the responsibilities of the position and balance work and school?Are you in any groups, sports, or clubs? If so, please describe in detail here:

Do you have a valid driver's license?If not, do you have a reliable transporation to and from work?Do you feel you have a positive, friendly and outgoing personality?Do you take instruction well and perform responsibilities throughly?

Morning Midday Afternoon EveningMonday Are you available to work holidays?TuesdayWednesday Are you available to work nights?ThursdayFriday Type of work desired:SaturdaySunday

College

Name Major/Minor Graduation Date

CH

ILL

OU

T S

HA

VE

D IC

E H

VL

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Please describe why you think you would make a great employee at Chill Out Shaved Ice:

Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.

Position Applying For Salary

Email Address

Birth DateFirst Name

Address

Chill Out Shaved Ice Hville 402 11th St, Huntsville, Texas 77340

Owner: Nessa Irving

Last Name

Shaved Ice Stand Employee

Personal Information

PhoneZIP

If hired, on what date would you be available to begin work?

Please list the hours you are available to workAvailability

City

How many hours per week are you available to work?

Name

Education

City and State

Major/Minor

Number of Units Completed

Graduation Date

Honors/RecognitionsHigh School

City and State Number of Units Completed Honors/Recognitions

Yes No

Yes No

Yes No

Part-time Full-time Seasonal Temporary

Yes No

Yes No

Yes No

Yes No

Yes No

Have you had a job before?

From To

From To

Date

If yes, please list your past work experience beginning with your most recent job held. You should account for time unemployed, and include any full-time volunteer work done.

Work History

Employer Name Job TitleCurrent/Last Employer

Previous Employer

Phone NumberAddress

List your primary responsibilities, skills, and accomplishments with this job

Reason For Leaving (Be specific)

Address

Job Title

I hereby attest that all of the information I have provided is true and correct to the best of my knowledge. I am aware that missing, misleading, or false information is grounds not to hire me, or for my termination after hiring.

Applicant Signature

Phone Number

Employer Name

Reason For Leaving (Be specific)

List your primary responsibilities, skills, and accomplishments with this job

Yes No