Jamba Juice Employment Application Page 2

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EDUCATI ON
Graduated
Name of School
City & State
Degree / Major
School
Yr
Yes / No
High School
College (Undergraduate)
Graduate School
Trade, Business, Correspondence School
Other Training, please specify
EMPLOYMENT INF ORM AT IO N
Starting with your most recent job, please list present and past employment. All information is required.
From
To
Position Title
Starting
Ending
Reason for Leaving
Company Name, Address, Phone Number
Mo/Yr
Mo/Yr
Salary
Salary
PROFE SS ION AL REFERENCE S (
Provide three)
N
a
m
e
Relationship
Years Acquainted
Phone #
Email Address
A PPLICAN T’S STATEMENT
JAMBA JUICE IS AN EQUAL OPPORTUNITY EMPLOYER. PLEASE READ THE FOLLOWING STATEMENT CAREFULLY.
I declare under penalty of perjury that I personally completed this application and that, to the best of my knowledge, the information contained
in this application is true and complete. I understand that any false information or signifi cant omissions may disqualify me from further
consideration of employment and, in the event I become employed, may result in the termination of my employment if discovered at a later
date. I understand and agree that nothing contained in this application is intended to create an employment contract between me and the
company. I also understand and agree that if I am hired, my employment with the company will be at will, and may be terminated by either me
or the company at any time, with or without cause or advance notice. I understand that no promises or representations to the contrary will be
binding on the company unless made in writing signed by both me and the Chief Executive Offi cer of the company.
____________________________________________________________________
________________________________________
Applicant Signature
Date

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