Employee Application Name * First Name Last Name Email * Phone * (###) ### #### Birthdate * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Tell us about yourself: * How did you hear about us? * Job Fair Family or Friend Social Media Other AVAILABILITY How many hours would you like in spring (March-May)? * 0-20 20-40 Other Please list general availability for spring: * How many hours would you like in summer (June-August)? * 0-20 20-40 Other Please list general availability for summer: * How many hours would you like for fall (September-November)? * 0-20 20-40 Other Please list general availability for fall: * Will you have any other jobs this season? If yes, please describe the type of work and your expected hours: Are you involved in school, extracurricular activities, or family commitments that could impact your availability? Please describe: Will you be available for night shifts (5pm-11:59pm)? * Yes No Will you be available for weekend shifts (Fri-Sun)? * Yes No Do you have any planned vacations or extended time off during the season (including college visits)? If yes, please list dates: * School Most Recently Attended School Name * City & State * Phone * (###) ### #### Teacher Reference * Last Grade Completed * Grade Point Average * Job or Personal Reference Company 1 * Location * Phone * (###) ### #### Job Position * Supervisor * First and Last Name Date Started * MM DD YYYY Date Ended MM DD YYYY Salary * Reason for Leaving Company 2 * Location * Phone * (###) ### #### Job Position * Supervisor * First and Last Name Date Started * MM DD YYYY Date Ended MM DD YYYY Salary * Reason for Leaving What areas of the shop are you interested working? * Item Production Scooping/Customer Service Prep & Set-up Cleaning & Scooper Assistant What do you hope to accomplish personally and professionally while working at Katie’s Ice Cream this season? * What skills or experiences would you like to gain or improve upon? * How do you see yourself contributing to our shop’s success and positive atmosphere this year? * 1. I certify that the information on this application is correct to the best of my knowledge and understand that deliberate falsification is grounds for dismissal in accordance with the policies of KGGK, Inc d/b/a Katie’s Homemade Ice Cream. 2. I authorize the references listed above to give you any, and all, information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. 3. I acknowledge that, if I become employed, I will be free to terminate my employment at any time for any reason and that KGGK Inc d/b/a Katie’s Homemade Ice Cream retains the same rights. No representative of KGGK Inc. d/b/a Katie’s Homemade Ice Cream has the authority to make any contrary agreement. * I agree Thank you for taking the time to complete this questionnaire!We will be reviewing applications carefully and will reach out with next steps for those selected to move forward in the process for this coming season.