The Flaming Ice Cube Application For Employment

PERSONAL INFORMATION _{DATE OF APPLICATION}_{: _}_{_____________}

Name:

Last First Middle

Address:

Street (Apt) City, State Zip

Contact Information: ( ) ( )

Home Telephone Mobile Email

How did you learn about our company?

POSITION SOUGHT: _________________________ _Location:_{__ Boardman or __ Cleveland}

_{Desired Number of Hours / Week:}_{_________ Available Start Date:_}_{_____________}

Day/Hours Available: Mon ______ Tue ______ Wed ______ Thu ______ Fri ______ Sat ______ Sun ____

Desired Pay Range: ________________ Are you currently employed? ______________

By Hour or Salary

EDUCATION

Name and Location Graduate? – Degree? Major / Subjects of Study

High School
College or University
Specialized Training, Trade School, etc…
Other Education

Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position.

PREVIOUS EXPERIENCE

Please list beginning from most recent

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

High School

Other Education