Weather Vane Ice Creme
Application for Employment

Personal Information

                
Name          
Last First Middle Initial

Phone  
      
Present Address

Street City State Zip
Permanent Address            
Street
City State Zip

   

Employment Desired

Location Position
Date Available Salary Desired
Are you currently employed? Yes No If yes, where?
Applied here before? Yes No If yes, where?

Education History

Grammer School:
School
Years
Graduate?
 Yes No
Subjects:        

High School:
School
Years
Graduate?
 Yes No
Subjects:        

College:
School
Years
Graduate?
 Yes No
Subjects:        

Trade, Business or Correspondence School:
School
Years
Graduate?
 Yes No
Subjects:        

General Information
Please list special skills or other points of interest:


US Military or Naval Service
 
Rank        

Former Employers

Date: From To
Company
Street    
City
State
Zip
Salary
Position
    
Reason for leaving

 
Date: From To
Company
Street    
City
State
Zip
Salary
Position
    
Reason for leaving

 
Date: From To
Company
Street    
City
State
Zip
Salary
Position
    
Reason for leaving

 
Date: From To
Company
Street    
City
State
Zip
Salary
Position
    
Reason for leaving

References

Reference 1:
Last
First
    
Street    
City
State
Zip
Business
Years Known
  		     
Reference 2:
Last
First
    
Street    
City
State
Zip
Business
Years Known
  		     
Reference 3:
Last
First
    
Street    
City
State
Zip
Business
Years Known
  		     

Application Authorization

"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 information concerning 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 also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

By checking this box I agree to the above statements.

Upon clicking the submit button, your application may take up to a minute to process. Please do not leave this page, click the back button, or close this window until it has completed. Once it has completed, you will be taken to a thank you page.