| Hefners Frozen Custard Cedarburg, Wisconsin

Applicant Info EDIT

Job Opportunity EDIT

Employment Eligibility EDIT

References EDIT

Education EDIT

Previous Employment EDIT

Digital Signature EDIT

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Applicant Info

Name: ^✱

Full Address: ^✱

Phone: ^✱

Email: ^✱

Date Available: ^✱

Desired Salary: ^✱$

Job Opportunity Info

Position Applied For: ^✱

Employment Preference ^✱

Full Time Part Time

What hours are you available to work?

Monday^*

Start Time End Time

Tuesday^*

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Wednesday^*

Start Time End Time

Thursday^*

Start Time End Time

Friday^*

Start Time End Time

Saturday^*

Start Time End Time

Sunday^*

Start Time End Time

Employment Eligibility

Are you...

authorized to work in the United States? ^✱

yes no

Have you ever pleaded "guilty", "no contest" or been convicted of a crime? ^✱

yes no

Date of Birth: ^✱

Professional References

Where did you learn about this position?

Employee Referral Online Job Posting Other:

Have you ever worked for Hefner's?

yes no

Reference list

Full Name:

Relationship:

Company:

Phone: Email:

Education Info

Institution:

Extra Curriculars

From: To:

Graduated/ Graduating Date:

Employment History

Company:

Job Title:

Supervisor:

Tasks
Included:

Reason for Leaving:

Starting Pay: Ending Pay:

Start and End Date:

May we contact for reference?

yes no

Disclaimers And Signature.

Electronic Signature^*

Today's Date:^*