J. Lauber's Ice Cream Parlor
Application for Employment
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age
*
Emergency Contact - Name
*
First Name
Last Name
Emergency Contact - Relationship
*
ex. Mother/Father/Grandparent
Emergency Contact - Phone Number
*
Please enter a valid phone number.
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Availability
Are you available on weekdays from 4-11pm (May-October)?
*
Are you available on Saturday and Sunday from 11am-11pm (May-October)?
*
Are you involved in any extracurricular activities?
*
ex. Sports, Clubs, etc.
Will you have a job elsewhere? Please note the hours of this job
*
If hired, when can you start?
*
ex. 5/19/2023
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Job References
May include Work, Academic, Character, etc.
Reference No. 1
Reference - Name
*
First Name
Last Name
Reference - Relationship
*
ex. Employer/Teacher/Family Friend, etc.
Reference - Phone Number
*
Please enter a valid phone number.
Reference No. 2
Reference - Name
*
First Name
Last Name
Reference - Relationship
*
ex. Employer/Teacher/Family Friend, etc.
Reference - Phone Number
*
Please enter a valid phone number.
Reference No. 3
Reference - Name
*
First Name
Last Name
Reference - Relationship
*
ex. Employer/Teacher/Family Friend, etc.
Reference - Phone Number
*
Please enter a valid phone number.
Do you have any skills or talents that you feel would be an asset to J. Lauber's Ice Cream Parlor? Please describe
Submit
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