Ben & Jerry's Ice Cream Employment Application
ALL SECTIONS MUST BE COMPLETED FOR APPLICATION TO BE CONSIDERED
E-mail:
*
Full Name:
*
First Name
Middle Initial
Last Name
Phone Number:
*
-
Area Code
Phone Number
Address:
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Please Select
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Other
Country
Are you 18 or older?
*
Yes
No
If "No" how old are you?
Have you worked in a Ben & Jerry's Scoop Shop before?
*
Yes
No
If "Yes" please provide the name of the location and dates you worked there (below)
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
What position(s) are you applying for?
*
Crew Member (Scooper)
Shift Leader
Cake Decorator
Other
If "Other" please provide additional details
How did you hear about us?
*
i.e. friend/family, social media, word of mouth, etc.
Why should we hire you?
*
Sell yourself to us!
If you were any of our ice cream flavors, which would you be and why?
*
How far away do you live from the scoop shop?
*
We are located at 940 Elm Street in Manchester, NH
Do you have reliable transportation to work?
*
i.e. do you rely on someone to bring you? Are you a licensed driver with a car?
Desired Salary:
Available start date:
If ASAP write "ASAP" or provide a date
Are you a U.S. citizen?
*
Yes
No
If no, are you authorized to work in the United States?
*
Yes
No
Have you ever been convicted of any crime? (Answering yes will not prevent you from being considered)
*
Yes
No
If you answered yes above, please briefly explain the circumstance(s):
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EDUCATION
Name of your High School:
Did you graduate or earn a G.E.D.?
*
Yes
No
Date you graduated or departed high school:
*
-
Month
-
Day
Year
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Name of your College or University:
Highest degree earned:
Associate's
Bachelor's
Master's
Other
Other Education: Name of Institution
Degree or Certificate earned:
Date completed:
-
Month
-
Day
Year
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PREVIOUS EMPLOYMENT
Name of your most recent/current employer:
*
If you don't have any previous work history just write "no previous work history"
Job Title:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number:
-
Area Code
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Supervisor's Name:
First Name
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Date Employment Began:
-
Month
-
Day
Year
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Date Employment Ended:
-
Month
-
Day
Year
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Starting Salary:
Ending Salary:
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Other
Name of Employer 2:
Job Title:
Address:
Street Address
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Phone Number:
-
Area Code
Phone Number
Supervisor's Name:
First Name
Last Name
Date Employment Began:
-
Month
-
Day
Year
Date Picker Icon
Date Employment Ended:
-
Month
-
Day
Year
Date Picker Icon
Starting Salary:
Ending Salary:
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Other
Name of Employer 3:
Job Title:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
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Chile
China
Christmas Island
Cocos (Keeling) Islands
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Cook Islands
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Cote d'Ivoire
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Equatorial Guinea
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Gabon
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Germany
Ghana
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Greenland
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Guadeloupe
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Liberia
Libya
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Lithuania
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
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Montenegro
Montserrat
Morocco
Mozambique
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
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New Caledonia
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Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
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Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
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Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Vietnam
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Other
Country
Phone Number:
-
Area Code
Phone Number
Supervisor's Name:
First Name
Last Name
Date Employment Began:
-
Month
-
Day
Year
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Date Employment Ended:
-
Month
-
Day
Year
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Starting Salary:
Ending Salary:
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Other
Any additional work history you would like to include?:
Have a resume you'd like to attach as well? Drop it here :)
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MILITARY SERVICE
Check the box below and skip this part if it is not applicable to you
Not Applicable to Me
Branch:
Please Select
Air Force
Army
Marines
Navy
Coast Guard
Date Service Began:
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Date Service Ended:
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Rank at Discharge:
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If other than honorable, explain:
Type of Discharge:
Please Select
Honorable
Administrative/ELS
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Other than Honorable
Bad Conduct
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AVAILABILITY
Help us get an idea of the days you CAN work. If you are available all days and all times, write "Any/All" in the boxes below.
Total Available Hours Per Week:
*
I am available on these days at these times: (i.e if you are available at 5pm on Mondays put "5:00pm" in the "From" section and "close" or a specific time in the "To" section. If you cannot work specific days please write "N/A")
*
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
From
To
Please list any additional information about your availability here if the spaces provided above are not enough:
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DRIVER APPLICANTS ONLY
All Driver applicants must have a valid Driver's license. DMV reports and/or a copy of your insurance card may also be requested. We require drivers to assist with errands that need to be done for the shop to operate and highly encourage anyone that can drive to take deliveries to customers as well as use their own car for catering events and operate the food truck as needed.
Do you drive?
*
Yes
No
Do you have your own car?
Yes
No
If Yes, are you willing to be a delivery driver?
Yes
No
If Yes, are you also willing to drive/use your vehicle for catering events?
Yes
No
Do you currently have auto insurance?
Yes
No
Auto Insurance Company:
Auto Insurance Company Phone:
-
Area Code
Phone Number
Policy Effective Date:
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Month
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Day
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Policy Number:
Vehicle Make:
Vehicle Model:
Any additional info we should know as it relates to driving?
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I certify that my answers are true and complete to the best of my knowledge and that all sections on this application have been completed. I am aware that my application may not be considered if it is incomplete. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release.
*
I have read and understand the above.
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