Employment Application

First Name

Middle Initial

Last Name

Street Address

City, State, Zip

Phone Number

Are You 18 Years or Older? Yes No

If not, what is your birthdate?

How did you hear about this position?

Have you ever applied or worked at Twist Cone before? If yes, when?

Do you have any friends or relatives working for Twist Cone? If yes, please state name and relationship

Number of Hours Desired

Date Available

Shift Availability

Please list any Extracurricular Activities/Memberships/Other Activities

When responding to the question below about felony convictions, do not disclose any convictions that have been annulled, expunged, erased, or sealed (or the equivalent under your state's law). Criminal convictions are not an absolute bar to employment. This information will only be used for job-related purposes consistent with applicable law and is only relevant in determining whether the conviction is related to the job for which you are applying.

During the past 5 years, have you ever been convicted of, pled guilty to or pled no contest to, a crime, excluding misdemeanors and traffic violations? Yes No

If yes, describe in full:

Highest High School Grade Completed

School Name, Address, City and State

Highest College Grade Completed

College School Name, Address, City and State

Previous Employment

Previous Employment 2

Previous Employment 3

First Reference

Second Reference

Third Reference

PLEASE READ CAREFULLY THE SECTION BELOW BEFORE SIGNING:

I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal.
I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.
I acknowledge that the owner of Twist Cone reserves the right to amend or modify any of its policies at any time and without prior notice. These policies do not create any promises or contractual rights between this employer and its employees. At Twist Cone, employment is at will. This means an employee is free to terminate his/her employment at any time, without any reason, with or without cause, and the owner retains these same rights. The owner is the only person who may make an exception to this, and any exception must be in writing, addressed to a particular individual, and signed by the owner.
Twist Cone is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veteran's status. It is Twist Cone's policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.
I understand that as a part of the procedure for my employment application an investigative consumer report may be made concerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies the information.

Applicant Signature

Parent/Guardian Signature

Date