My Flavor It! Place Online Application

Personal Information

Name *

First Name Last Name

Date of Birth *

Month Day Year Date Picker Icon

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

Email Address *

Desired Employment

Location Preference

10 E. Main St. Lake Zurich, IL 60047 321 N. Main St. Wauconda, IL 60084 117 W. Slade St. Palatine, IL 60067 703 N. Milwaukee Ave. Libertyville, IL 60048

Please list days/hours available in Spring after March 1st

Please list days/hours available for Summer months

Please list days/hours available in Fall through November 30th

Education

Please list any current or previous schooling AND current /final GPA

Please list any Extracurricular Activities currently or previously involved in (band, choir, student council, football, etc.)

Employment History

Name/Address of Employer

Length of Employment (Mo/Yrs) / Reason for Leaving

Are you eligible for rehire?

Position and Duties Performed

Supervisor's Name and Phone Number

May we contact?

Yes No

Personal References

Name, Address, Phone Number, Relationship

Additional

How did you hear about us? (Select multiple if needed)

Facebook Instagram Twitter Google Word of Mouth Driving by the Shop

Please list any additional information you would like us to know about you :)

Applicant Statement

1) I certify that I have read and fully completed this application and that the information contained on this application is correct to the best of my knowledge. 2) If this application and interview leads to employment, I understand that any erroneous or misleading information in this application or interview is grounds for dismissal. 3) I authorize the references listed in this application to provide any information concerning previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liabilities for any damages that may result from furnishing this information. *

My Flavor It! Place is an equal opportunity employer, dedicated to a policy of non-descrimination in employment on any basis including race, color, age, sex, religion, national origin, disability, sexual orientation, or any other basis prohibited by federal or state law.