
Employment Application Date:________________________
PERSONAL INFORMATION:
Name (last/first/middle) ______________________________________________________________________
Present Address (street/apt/city/state/zip) _________________________________________________________
Permanent address (street/apt/city/state/zip) _______________________________________________________
Phone _____________________ Social Security No. ___________________
Are you 18 years or older? _________
IN CASE OF EMERGENCY, NOTIFY: Name: __________________________________________________________
Address __________________________________________________ Phone: __________________________________
Have you ever been convicted of a felony? Yes ____ No ____ ( a conviction will not necessarily prohibit you from being employed)
If yes, when, where and what was the nature of the offense? Describe: _______________________________________________
EMPLOYMENT INFORMATION:
Position desired _____________________________________ Date you can start _____________________________________
Are you currently employed? _______ What hours can you work? ___________________ Number of hours you wish to work. _____
Circle days you wish to work Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Do you have previous customer service, restaurant, ice cream or coffee shop experience? _____ Where? _____________When? ________________
EMPLOYMENT RECORD:
Name and address of present or last employer ___________________________________________________________________
Starting date (mo/yr) __________________ Leaving date (mo/yr) ___________________ Job Title _________________________
Weekly starting salary _________________________ Weekly final salary ________________________________
Name and title of supervisor __________________________ May we contact supervisor? Yes ___ No ___ Phone ______________
Reason for Leaving _______________________________________ Description of work _________________________________
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Name and address of present or last employer ___________________________________________________________________
Starting date (mo/yr) __________________ Leaving date (mo/yr) ___________________ Job Title _________________________
Weekly starting salary _________________________ Weekly final salary ________________________________
Name and title of supervisor __________________________ May we contact supervisor? Yes ___ No ___ Phone ______________
Reason for Leaving _______________________________________ Description of work _________________________________
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Name and address of present or last employer ___________________________________________________________________
Starting date (mo/yr) __________________ Leaving date (mo/yr) ___________________ Job Title _________________________
Weekly starting salary _________________________ Weekly final salary ________________________________
Name and title of supervisor __________________________ May we contact supervisor? Yes ___ No ___ Phone ______________
Reason for Leaving _______________________________________ Description of work _________________________________
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If a customer was unhappy with the taste of their ice cream, what would you do? __________________________________________
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If a customer spilled their drink or dropped their food, what would you do? _______________________________________________
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If a customer gave you a $10.00 bill and the ordered a hamburger for $2.50, fries for 1.29, drink for 1.19, how much change would you give them back if the sales tax is 9.25%. 4.57
THE TOWNSPACE CULTURE:
Townspace prides itself in creating and maintaining and exciting, high energy, team based culture at each of its locations. Please explain why working in such an environment is of interest to you.
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