Plainwell Ice Cream Server App

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address*
Phone Number*

Area CodePhone Number
Can you be reached by text at this number?*

YesNo
Are you at least 18 years old?*

YesNo
If under 18, please enter date of birth.

Education
High School Name & Location*

NameLocation
Current Year Of High School*
High School Grade Point Average*
College / Trade School Name & Location

NameLocation
Current Year Of College / Trade
College / Trade Grade Point Average
List all activities in which you are involved that could create scheduling conflicts: (school, sports, etc.)*

Past Employment
Employment #1 Dates Of Employment
Employment #1 Name, Address, Phone
Employment #1 Salary
Employment #1 Reason For Leaving
Employment #2 Dates Of Employment
Employment #2 Name, Address, Phone
Employment #2 Salary
Employment #2 Reason For Leaving
Employment #3 Dates Of Employment
Employment #3 Name, Address, Phone
Employment #3 Salary
Employment #3 Reason For Leaving

References
Reference #1 Name

First NameLast Name
Reference #1 Phone

Area CodePhone Number
Reference #1 Occupation
Reference #1 Years Known
Reference #2 Name

First NameLast Name
Reference #2 Phone

Area CodePhone Number
Reference #2 Occupation
Reference #2 Years Known
Reference #3 Name

First NameLast Name
Reference #3 Phone

Area CodePhone Number
Reference #3 Occupation
Reference #3 Years Known
Tell Us About Yourself
What are your strengths?*
Why do you want to work here?*
Authorization:

- I understand that this application is not a contract for employment.

- I recognize that any employment with Plainwell Ice Cream Co. is obn an "at will" basis and may be terminated by either employee or employer.

-I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

-I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all info comcerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I have read and understand the authorization above.
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