Bean Me Up 3 Cup LLC Application form

Date

Phone

Last name

First name

Email

Birthday

Social Security #

VAT ID

Country/Region

Address

Address - line 2

City

Zip / Postal code

Applying for

Do you have transportation to and from work

Yes

No

Drivers License or State Id #

Employment Desired

Positon

Availability? Example Monday Available Tuesday Not available 7 am -12

EXAMPLE

Mon Not Available

Tues Not Available

Wed Not Available

Thur Not Available

Fri Available

Sat Avaiable 7 -1

Sun Available

Why do you want to work at Bean Me Up and Freedom Kettle Corn?

Date you can start

Pay Desired

Are you employed?

Yes

No

If So, May we contact your present employer

Yes

No

Have you ever worked for Bean me up 3 cup LLC before?

Yes

No

When?

Referred by

Education History

Name of school and location

Did you graduate? & subjects studied

Former Employers

From

Employer 1 name

To

Address

Salary

Position

Reason for leaving

From

Employer 2 name

To

Address

Salary

Position

Reason for leaving

References

Name 1

Phone

Years Known

Address

Name 2

Phone

Years Known

Address

Name 3

Phone

Years Known

Address

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 the 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 unless it is in writing and signed by an authorized company representative.

Date

Signature

Interviewed and hired by

Date

DO NOT WRITE BELOW THIS LINE

REMARKS

Neatness

Character

Personality

Ability

Hired Date

Positon Hired

Starting Salary

Approved by Signature