Locally Owned & Operated Since 1950

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Job Application

Now hiring for all positions.
Wages starting at $11.00 per hour with an opportunity for a raise up to $1.00 per hour after 60 day evaluation and test.
Detailed resumes may be emailed to [email protected]

* All required fields must be filled out in order to submit

Social Security Number (* required)

Name (* required)

Phone (* required)

Address (* required)

Email

Are you over 18? If not, what is your age?

Do you smoke?

Yes
No

Have you ever worked for Lic's? If yes, date and location

Have you been referred by anyone currently employed at Lic's? Who?

Type of employment desired

Part-time
Full-time

Availability: Total hours available per week

Do you have transportation to work?

Yes
No

Are you legally able to be employed in the U.S.?

Yes
No

Have you ever plead "Guilty", "No Contest", or been convicted of a crime? If yes, please provide dates and brief details.

Name of Most Recent School Attended

Location

of Most Recent Attended School

Last Grade Completed

at Most Recent Attended School

Grade Point Average

at Most Recent Attended School

Currently Enrolled?

Yes
No

Time Class Ends

at Most Recent Attended School

Sports, activities, hobbies

Company Name of Most Recent Job 1

From - To

of Most Recent Job 1 (mm/dd/yyyy)

Phone

of Most Recent Job 1

Job

of Most Recent Job 1

Supervisor

of Most Recent Job 1

Salary

of Most Recent Job 1

Reason for Leaving

of Most Recent Job 1

Company Name of Most Recent Job 2

From - To

of Most Recent Job 2 (mm/dd/yyy)

Phone

of Most Recent Job 2

Job

of Most Recent Job 2

Supervisor

of Most Recent Job 2

Salary

of Most Recent Job 2

Reason for leaving

of Most Recent Job 2

Other: List any relevant additional experience as you wish

Applicant Signature (* required)

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Signature Date (* required)

(mm/dd/yyy)

* All required fields must be filled out in order to submit

© Lic's Deli & Ice Cream

Locally Owned & Operated Since 1950

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