Pierre's Ice Cream
Pierre's Ice Cream
Pierre's Ice Cream
Pierre's Ice Cream



Application for Employment

TO APPLICANT: We appreciate your interest in our organization. Thank you for taking the time to complete this application.

  (Fields marked with * are required to submit form.)

Personal:

Date of Application*: (mm/dd/yy)
Position(s) Applied For*:
Social Security #*:
Name*:
Street Address*:
City*:
State*:
Zip*:
E-Mail*:
Phone*:
Mobile/Other Phone:
Driver's Licence No.:
Driver's License State:
Referral Source: (Select appropriate category and name the source.)
 
  
Are you legally eligible for employment in the U.S.A.?*
  Yes
No
(If hired, you are required to submit proof of your eligibility to work in the U.S.A.)
Are you over the age of eighteen?*
  Yes
No
(If no, hire is subject to verification that you are of minimum legal age.)
Were you previously employed by us?*
  Yes
No
If yes, when?   
If your application is considered favorably, on what date will you be available for work?*
  (mm/dd/yy)
Please describe any other job related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying.
 
Have you ever pled "guilty" or "no contest" to or been convicted of a crime?*
  Yes
No
  If yes, please provide date(s) and details:

Employment History:

(List below present and past employment, beginning with your most recent.)
Employer 1:  
Company Name:
City:
State:
Date From: (mm/yy)
To: (mm/yy)
Starting Salary: $
Ending Salary: $
Starting Position:
Final Job Title:
Immediate Supervisor and title (for most recent position held)
 
Phone No.:
May we contact for reference?
  Yes
No
Later
Summarize the type of work performed and job responsibilities:
 
What did you like most about your position?
 
What were the things you liked least about the position?
 
Why did you leave?
Employer 2:  
Company Name:
City:
State:
Date From: (mm/yy)
To: (mm/yy)
Starting Salary: $
Ending Salary: $
Starting Position:
Final Job Title:
Immediate Supervisor and title (for most recent position held):
 
Phone No.:
May we contact for reference?
  Yes
No
Later
Summarize the type of work performed and job responsibilities:
 
What did you like most about your position?
 
What were the things you liked least about the position?
 
Why did you leave?
Employer 3:  
Company Name:
City:
State:
Date From: (mm/yy)
To: (mm/yy)
Starting Salary: $
Ending Salary: $
Starting Position:
Final Job Title:
Immediate Supervisor and title (for most recent position held):
 
Phone No.:
May we contact for reference?
  Yes
No
Later
Summarize the type of work performed and job responsibilities:
 
What did you like most about your position?
 
What were the things you liked least about the position?
 
Why did you leave?
Employer 4:  
Company Name:
City:
State:
Date From: (mm/yy)
To: (mm/yy)
Starting Salary: $
Ending Salary: $
Starting Position:
Final Job Title:
Immediate Supervisor and title (for most recent position held):
 
Phone No.:
May we contact for reference?
  Yes
No
Later
Summarize the type of work performed and job responsibilities:
 
What did you like most about your position?
 
What were the things you liked least about the position?
 
Why did you leave?

Education:

Grammar School:  
Name:
City:
State:
Years Completed: 5
6
7
8
Did you 
graduate?
Yes
No
High School:  
Name:
City:
State:
Years Completed:

1
2
3
4

Did you graduate? Yes
No
If no, do you have 
a GED?
Yes
No
College:  
Name:
City:
State:
Years Completed:

1
2
3
4

Did you 
graduate?
Yes
No
Subjects Studied 
and Degree(s) 
Received:
Other (specify):
Name:
City:
State:
Years 
Completed:

1
2
3
4

Did you 
graduate?
Yes
No
Subjects Studied 
and Degree(s) 
Received:

Personal and Professional References:

(No relatives.)
Reference 1:  
Name*:
Occupation*:
Company Name*:
Relationship*:
Phone*:
Reference 2:  
Name*:
Occupation*:
Company Name*:
Relationship*:
Phone*:
Reference 3:  
Name*:
Occupation*:
Company Name*:
Relationship*:
Phone*:
Is anyone related to you employed by Pierre's?*
  Yes
No
If yes, please give his/her name and relationship to you.
 
Have you been convicted of any moving violations in the past five years?*
  Yes
No
May we telephone you to follow up on this application?*
  Yes
No
If yes, what is the best number at which to reach you?
 
What is the best time to call?
 
May we telephone you to follow up on this application at work?*
  Yes
No
If yes, what is the best time to call?
 
What is your business phone number?
 
  
The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national orgin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to credit data. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.
  

Applicant Statement:

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete, and correct.

I expressly authorize the employer, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, and educational institutions to verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives for seeking, gathering, and using truthful and non-defamatory information in a lawful manner in the employment process.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) result in my immediate discharge from the employer's service, whenever it is discovered.

In consideration for employment with Pierre’s, if employed, I agree to conform to the rules, regulations, policies and procedures of Pierre’s at all times and understand that such obedience is a condition of employment.  I understand that due to the nature of Pierre’s business, attendance and punctuality are considered essential requirements of employment at Pierre’s and that poor attendance or tardiness will result in disciplinary action.

I understand that if offered a position with Pierre’s, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests or checks will result in withdrawal of any employment offer or termination of employment if already employed.

DO NOT SUBMIT UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
  

I certify that I have read, fully understand, and accept all terms of the foregoing Applicant Statement.*
 
 
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