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GJ Employment Application

This document is an application for employment at an independently owned Gloria Jean's Coffees franchise location. It requests personal information from the applicant such as name, address, availability, and employment history. The application states that the company provides equal employment opportunities and complies with all applicable laws. It also notes that any misrepresentations on the application could result in failure to receive a job offer or immediate dismissal.

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Mhelay Delrosario
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© Attribution Non-Commercial (BY-NC)
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40 views2 pages

GJ Employment Application

This document is an application for employment at an independently owned Gloria Jean's Coffees franchise location. It requests personal information from the applicant such as name, address, availability, and employment history. The application states that the company provides equal employment opportunities and complies with all applicable laws. It also notes that any misrepresentations on the application could result in failure to receive a job offer or immediate dismissal.

Uploaded by

Mhelay Delrosario
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR EMPLOYMENT

Independently Owned & Operated Franchise Location


An Equal Opportunity Employer
It is the Company's policy to provide equal opportunity in conformance with all applicable state and federal laws. All questions must be answered and the application must be signed and dated.

DATE OF APPLICATION __________________

PERSONAL
NAME (LAST, FIRST, MIDDLE) ADDRESS (CITY, STATE, ZIP CODE ) SOCIAL SECURITY NUMBER TELEPHONE NUMBER (HOME) TELEPHONE NUMBER (OTHER)

PLEASE INDICATE ANY OTHER NAMES YOU HAVE USED WHILE WORKING OR ATTENDING SCHOOL, SUCH AS A FORMER NAME, ETC. ARE YOU UNDER 18 YEARS OF AGE? YES NO IF REQUIRED, CAN YOU PROVIDE A VALID WORK PERMIT? YES NO

Minors will not be permitted to work unless they are legally able to do so under all applicable state and federal laws. A minor may only be permitted to work in accordance with the terms, restrictions and limitations set forth in their work permit, if one is required.

EMPLOYMENT DESIRED
POSITION DESIRED: LOCATION(S) PREFERRED: DATE YOU ARE AVAILABLE FOR EMPLOYMENT: PAY EXPECTED: HOW DID YOU LEARN ABOUT HIS OPPORTUNITY? ARE YOU AVAILABLE TO WORK ON: WEEKENDS? YES NO HOLIDAYS? YES NO

AVAILABILITY
HOURS AVAILABLE SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY TOTAL HOURS AVAILABLE PER WEEK:

WOULD YOU WORK: FROM FULL TIME SHIFTS PREFERRED: TO DAYS ARE YOU WILLING TO WORK OVERTIME WHEN AND AS REQUIRED? YES NO NIGHTS WEEKENDS PART TIME

GENERAL INFORMATION
HAVE YOU EVER APPLIED FOR EMPLOYMENT OR WORKED FOR GLORIA JEANS COFFEES IF YES, WHEN & WHERE: OR ONE OF ITS FRANCHISE LOCATIONS? YES NO WHAT WAS YOUR SUPERVISORS NAME? DO YOU HAVE ANY FRIENDS OR RELATIVES EMPLOYED BY GLORIA JEANS COFFEES? YES NO HAVE YOU EVER BEEN CONVICTED OF A FELONY OR SERIOUS MISDEMEANOR? REASON FOR LEAVING: IF YES, NAME & LOCATION: YES NO

IF YES, STATE NATURE OF CRIME(S), WHEN AND WHERE CONVICTED AND DISPOSITION OF THE CASE. CA LOCATIONS - CONVICTIONS FOR MARIJUANA RELATED OFFENSES MORE THAN 2 YEARS OLD NEED NOT BE DISCLOSED:

*NOTE: No applicant will be denied employment solely on the basis of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circustances and the relevance of the offense to the position(s) applied for, however, may be considered. ARE YOU ABLE TO PERFORM ALL OF THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING, WITH OR WITHOUT A REASONABLE ACCOMMODATION? YES NO IF NECESSARY, PLEASE DESCRIBE THE TYPE(S) OF REASONABLE ACCOMMODATIONS THAT ARE NEEDED? HAVE YOU EVER BEEN COUNSELED FOR CASH HANDLING SITUATIONS (OVER/SHORT), CUSTOMER SERVICE ISSUES OR INABILITY TO MEET/ADHERE TO COMPANY STANDARDS? YES NO IF YES, PLEASE EXPLAIN:

EDUCATIONAL HISTORY
SCHOOL NAME & LOCATION COURSE OF STUDY LEVEL OR YEARS TYPE OF DEGREE OR CERTIFICATE COMPLETED HIGH SCHOOL COLLEGE/ OTHER ARE YOU GOING TO SCHOOL NOW?

YES

NO

DAY CLASSES

NIGHT CLASSES

IDENTIFICATION REQUIREMENTS
CAN YOU SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES? YES NO YOU WILL BE REQUIRED TO PROVIDE NECESSARY PROOF OF YOUR ELIGIBILITY AND LEGAL AUTHORIZATION TO WORK IN THE UNITED STATES AS PROVIDED UNDER THE IMMIGRATION REFORM AND CONTROL ACT OF 1986 (IRCA). PLEASE REFER TO THE LISTS OF ACCEPTABLE DOCUMENTS TO ESTABLISH WHICH DOCUMENTS YOU MAY PRESENT, AFTER HIRED, TO ESTABLISH YOUR IDENTITY AND LEGAL AUTHORITY TO WORK IN THE U.S.

EMPLOYMENT HISTORY
PLEASE READ CAREFULLY: BEGIN WITH PRESENT OR MOST RECENT EMPLOYER AND LIST ALL JOBS YOU HAVE HELD FOR THE PAST FIVE YEARS. ACCOUNT FOR ALL PERIODS OF UNEMPLOYMENT IN THE SPACE PROVIDED. FROM: TO: LAST OR PRESENT EMPLOYERS NAME AND COMPLETE ADDRESS

STARTING WAGE $ PER DESCRIPTION OF DUTIES

ENDING WAGE $ PER

YOUR JOB TITLE

SUPERVISORS NAME

TELEPHONE NO.

REASON FOR LEAVING FROM: TO: EMPLOYERS NAME AND COMPLETE ADDRESS

MAY WE CONTACT THIS EMPLOYER?

YES

NO

STARTING WAGE $ PER DESCRIPTION OF DUTIES

ENDING WAGE $ PER

YOUR JOB TITLE

SUPERVISORS NAME

TELEPHONE NO.

REASON FOR LEAVING FROM: TO: EMPLOYERS NAME AND COMPLETE ADDRESS

MAY WE CONTACT THIS EMPLOYER?

YES

NO

STARTING WAGE $ PER DESCRIPTION OF DUTIES

ENDING WAGE $ PER

YOUR JOB TITLE

SUPERVISORS NAME

TELEPHONE NO.

REASON FOR LEAVING

MAY WE CONTACT THIS EMPLOYER?

YES

NO

PLEASE EXPLAIN ANY PERIODS OF UNEMPLOYMENT: FROM: ______________________ FROM: ______________________ TO: _______________________ HOW DID YOU SPEND THIS TIME? TO: _______________________ HOW DID YOU SPEND THIS TIME?

DRUG AND ALCOHOL POLICY


GLORIA JEANS COFFEES HAS A VITAL INTEREST IN MAINTAINING A DRUG AND ALCOHOL FREE ENVIRONMENT FOR ITS EMPLOYEES. CUSTOMERS AND VISITORS. THE COMPANY PROHIBITS THE USE OF, POSSESSION OF. DISTRIBUTION OF, PURCHASE OR SALE OF, OFFERING TO PURCHASE OR SELL, TRANSFER OR TRAFFICKING IN AND WORKING OR REPORTING FOR WORK UNDER THE INFLUENCE OF INTOXICANTS, DRUGS OR CONTROLLED OR ILLEGAL SUBSTANCES.

PLEASE READ AND SIGN BELOW


I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND AGREE TO HAVE ANY OF THE STATEMENTS CHECKED BY GLORIA JEANS COFFEES, I VOLUNTARILY AND KNOWINGLY AUTHORIZE ANY PRESENT OR PAST EMPLOYER OR SUPERVISOR; COLLEGE OR UNIVERSITY OR OTHER INSTITUTION OF LEARNING; ADMINISTRATOR; LAW ENFORCEMENT AGENCY, STATE AGENCY, LOCAL AGENCY, FEDERAL AGENCY, PRIVATE BUSINESS, MILITARY BRANCH OR THE NATIONAL PERSONNEL RECORDS CENTER, PERSONAL REFERENCE AND/OR ANY OTHER PERSONS TO GIVE RECORDS OR INFORMATION THEY MAY HAVE CONCERNING MY CRIMINAL HISTORY, MOTOR VEHICLE HISTORY, SOCIAL SECURITY NUMBER, EARNINGS HISTORY, CHARACTER, AND EMPLOYMENT (INCLUDING REASONS FOR TERMINATION) OR ANY OTHER INFORMATION REQUESTED BY GLORIA JEANS COFFEES. FURTHER, I RELEASE ALL PARTIES AND PERSONS FROM ANY AND ALL LIABILITY FOR ANY DAMAGES THAT MAY RESULT FROM FURNISHING SUCH INFORMATION TO THE COMPANY AS WELL AS FROM THE USE OR DISCLOSURE OF SUCH INFORMATION BY THE COMPANY OR ANY OF ITS AGENTS, EMPLOYEES, OR REPRESENTATIVES. I UNDERSTAND THAT ANY MISREPRESENTATION, FALSIFICATION, OR MATERIAL OMISSION OF INFORMATION ON THIS APPLICATION MAY RESULT IN MY FAILURE TO RECEIVE AN OFFER OR, IF I AM HIRED, IN MY IMMEDIATE DISMISSAL FROM THE COMPANY. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE RULES AND STANDARDS OF THE COMPANY AND I ACKNOWLEDGE THAT MY EMPLOYMENT AT GLORIA JEANS COFFEES IS FOR NO DEFINITE PERIOD OF TIME AND THAT THIS NOTHING IN THIS APPLICATION SHALL CONSTITUTE A CONTRACT OF EMPLOYMENT OR GUARANTEE OF EMPLOYMENT. I AGREE THAT MY EMPLOYMENT IS AT-WILL MEANING THE TERMS OF EMPLOYMENT MAY BE CHANGED AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT NOTICE AND WITH OR WITHOUT CAUSE, EITHER AT MY OPTION OR AT THE OPTION OF THE COMPANY. THIS INCLUDES BUT IS NOT LIMITED TO: TERMINATION, DEMOTION, PROMOTION, TRANSFER, COMPENSATION, BENEFITS, DUTIES, AND LOCATION OF WORK. MY STATUS AS AN AT-WILL EMPLOYEE CANNOT BE CHANGED. FURTHER, I UNDERSTAND THAT ALL OFFERS OF EMPLOYMENT ARE CONDITIONED ON THE RECEIPT OF SATISFACTORY RESPONSES TO REFERENCE REQUESTS, SATISFACTORY PROOF OF AN APPLICANTS IDENTITY AND LEGAL AUTHORITY TO WORK IN THE UNITED STATES.

_____________________________________________________________________________________________________ ____________________________________

APPLICANTS SIGNATURE

DATE

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