Part-Time Employment Application - Fritz'S Frozen Custard Page 2
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2FRITZ’S FROZEN CUSTARD
EMAIL APPLICATION TO:
PART-TIME EMPLOYMENT APPLICATION
From:
To:
Address:
Hourly Rate/Salary
Telephone Number(s):
Starting:
Final:
Job Title:
Supervisor:
Reason For Leaving:
Employer:
Dates Employed
Work Performed
From:
To:
Address:
Hourly Rate/Salary
Telephone Number(s):
Starting:
Final:
Job Title:
Supervisor:
Reason For Leaving:
REFERENCES
List the names and telephone numbers of three references who are not related to you. Please make sure one reference is a
teacher or school counselor.
Name:__________________________________ Phone No.:_________________________ Years Known:_________________
Name:__________________________________ Phone No.:_________________________ Years Known:_________________
Name:__________________________________ Phone No.:_________________________ Years Known:_________________
APPLICANT STATEMENT
I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT FALSIFICATION,
MISREPRESENTATION OR OMISSION OF FACTS ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED
DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS
OF WHEN OR HOW DISCOVERED.
Company will verify each new hire’s eligibility to work in the United States. I authorize investigation of all statements contained
in this application. I release from liability anyone supplying such information and I also release Company from all liability that
might result from its investigation. If hired, I understand that I will be expected to abide by all of Company’s rules and policies. I
further understand that, if employed, my employment will be at will. I understand that this means that I will be employed for
an indefinite period of time and my employment may be terminated at any time either by me or Company. I understand that
Company shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or
otherwise change all policies, procedures, benefits, or other terms or conditions of employment. I acknowledge that I have read
and understand the above statements and hereby grant permission to confirm the information supplied on this application by
me.
Signature of Applicant:
Date:
*******DO NOT WRITE BELOW THIS LINE*******
Interviewed By: __________________________________________
Date: _______________________________________
Date Hired: ______________________________________________
Wage: ______________________________________
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