Job Application — Southern Highlands

Southern Highlands — Job Application

Baskin-Robbins Job Application

Please complete the form below to apply for a position with us. Fields marked * are required.

Personal Information

First Name *

Middle Name

Last Name *

Email Address *

Phone Number *

Applying for Position *

Available Start Date *

/ /

Current Address

Street Address *

City *

State *

Zip Code *

Days per week you want to work *

Rate the Following *

How important are these qualities to you in a workplace?

	Not Important	Somewhat	Important	Very Important	Not Sure
Service Quality
Cleanliness
Responsiveness
Friendliness
Accuracy
Timeliness
Taking Ownership
Communication
Have a Smile
Your Tone of Voice

Self-Assessment (1 = Worst — 5 = Best) *

About You

What do you add to the team? *

As a team and management, what areas can we help support you in? *

Background Questions

Are you a US citizen or approved to work in the United States? *

Yes No

Are you a member of the Armed Services? *

Yes No

Do you have a food handlers card? *

Yes No In the Process

Are you 16 years of age or older? *

Yes No

Do you have reliable transportation to and from work? *

Yes No

Do you have any condition that would require job accommodations? *

Yes No

Have you ever been convicted of a criminal offense (felony or misdemeanor, excluding traffic stops)? *

Yes No

If yes, please state the nature of the offense(s) along with dates.

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date, nature, surrounding circumstances, and relevance to the position may be considered.

Note: Penny Cream, LLC complies with ADA and considers reasonable accommodations measures that may be necessary for eligible applicants/employees to perform essential functions.

References

Reference #1 (Name + Phone Number)

Reference #2 (Name + Phone Number)

Availability

Which shifts are you available to work? * (select all that apply)

10am–5pm 3pm–11pm 5pm–11pm

Which days are you available to work? * (select all that apply — this is availability, not your schedule)