Personal Information

Full Name: Address: City: State: Zip: Phone Number: Email Address:

Education

High School: Location: Years Attended: Did You Graduate? Yes No Year Completed:

Work Experience

1. Employer:

Employer: Position: Responsibilities: Dates of Employment: From To Reason for Leaving:

2. Employer:

Employer: Position: Responsibilities: Dates of Employment: From To Reason for Leaving:

References

Please list two professional references not related to you

1. Reference:

Name: Relationship: Phone Number: Email Address:

2. Reference:

Name: Relationship: Phone Number: Email Address:

Transportation

Do you have reliable transportation? Yes No

Additional Information

Why do you want to work at FreshBerry Frozen Yogurt? What skills or experiences make you a good fit for this position? Are you legally authorized to work in the United States? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain:

Applicant’s Statement

I certify that the information provided in this application is true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature: Date: