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Dairy Queen Grill & Chill Salem NH
Job Application Form
Employment Application for Dairy Queen
Step
1
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EMPLOYMENT APPLICATION - DQ SALEM NH
Position Applied For:
(Required)
Crew Member
Shift Leader
Manager
Date
(Required)
MM slash DD slash YYYY
Location Applying at:
(Required)
Salem
Instructions to Applicant: Please understand: Every ltem on this form must be answered to the best of your ability. Please print or have printed - use pen or typewriter. Your qualifications will be reviewed and you will be given consideration for any suitable vacancies. lf you are employed, this will become part of your permanent personnel record. This is an independently owned and operated location. No question is asked for the purpose of excluding any applicant due to protected class status, or any other class of individuals protected by law. lf you require assistance in order to complete this application, please let us know.
Instructions to Applicant: Please understand: Every ltem on this form must be answered to the best of your ability. Please print or have printed - use pen or typewriter. Your qualifications will be reviewed and you will be given consideration for any suitable vacancies. lf you are employed, this will become part of your permanent personnel record. This is an independently owned and operated location. No question is asked for the purpose of excluding any applicant due to protected class status, or any other class of individuals protected by law. lf you require assistance in order to complete this application, please let us know.
PERSONAL
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Telephone
Are You 18 or Older?
(Required)
Yes
No
Hidden
Are you legally authorized to work in the United State
(Required)
Yes
No
EDUCATION
High School (Name and Address)
(Required)
Did You Graduate?
(Required)
Yes
No
Age
(Required)
lf no, last grade completed
(Required)
Grade Average
(Required)
College (Name and Address)
Other (Name and Address)
Degree
Major
Minor
Date you expect to graduate
MM slash DD slash YYYY
GENERAL EMPLOYMENT INFORMATION
Were you previously employed with this independently owned Company?
(Required)
Yes
No
lf yes, when?
(Required)
To
(Required)
What location?
(Required)
Last job held?
(Required)
Are you willing to relocate?
(Required)
Yes
No
lf yes, where
(Required)
Do you have a reliable method of transportation?
(Required)
Yes
No
Type of employment sought:
(Required)
Full time
Part time
Temporary
Summer
Date Available:
(Required)
MM slash DD slash YYYY
Hidden
Salary Acceptable
(Required)
Hidden
Per Hour
(Required)
Hidden
Per Week
(Required)
Hidden
Total Hours Available per week
(Required)
Hidden
Most restaurant employees are required to work a schedule which includes some mornings, some evenings and some weekends. Are you willing to accept such a schedule?
Most restaurant employees are required to work a schedule which includes some mornings, some evenings and some weekends. Are you willing to accept such a schedule?
Yes
No
If no, are you willing to work:
Days
(Required)
Yes
No
Evening
(Required)
Yes
No
Weekends:
(Required)
Yes
No
Holidays
(Required)
Yes
No
Indicate you are available to work on the following days or check anytime, if applicable.
Monday Day
Yes
No
Evening
Yes
No
Anytime
Tuesday Day
Yes
No
Evening
Yes
No
Tuesday - Anytime
Anytime
Wednesday Day
Yes
No
Evening
Yes
No
Wednesday - Anytime
Anytime
Thursday Day
Yes
No
Evening
Yes
No
Thursday - Anytime
Anytime
Friday Day
Yes
No
Evening
Yes
No
Friday - Anytime
Anytime
Saturday Day
Yes
No
Evening
Yes
No
Saturday - Anytime
Anytime
Sunday Day
Yes
No
Evening
Yes
No
Sunday - Anytime
Anytime
Hidden
List any relatives presently employed with this company:
(Required)
In case of emergency, notify:
(Required)
Phone
(Required)
Relationship
(Required)
EXPERIENCE
List below all present and past employment, beginning with your most recent employer.
1. Employer
Starting Salary
Per
Hour
Week
Year
Dates Employed
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Last Salary
Per
Hour
Week
Year
Address
Supervisor
Job Title
Reason for leaving
For Job Reference, call
Telephone #
May we contact this employer?
Yes, immediately
Yes, at a later date
No
1. Employer
Starting Salary
Per
Hour
Week
Year
Dates Employed
MM slash DD slash YYYY
to
MM slash DD slash YYYY
Last Salary
Per
Hour
Week
Year
Address
Supervisor
Job Title
Reason for leaving
For Job Reference, call
Telephone #
May we contact this employer?
Yes, immediately
Yes, at a later date
No
lf you need more space to list additional work history] please write on the back of this page.
ACTIVITIES / SPORTS
List any additional activities or community service programs in which you participate that may be relevant to your candidacy
ACTIVITIES
I understand that this application for employment is for a job with an independently owned and operated franchise of the Dairy Queen@ system. I also understand that misstatements or omissions of information in connection with my application for employment can lead to rejection of my application or dismissal from employment, whenever discovered. I authorize this company to request and receive references from my former employers, and I hereby release those employers supplying any information from liability. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between this company and myself for either employment or for the providing of any benefits. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding unless expressly made in a formal written contract of employment signed by me and an authorized representative of this company. I hereby attest that all statements made by me above are true to the best of my knowledge.
Date
(Required)
MM slash DD slash YYYY
Applicant's Signature
(Required)
Hidden
Applicant's Signature
(Required)
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