CORPORATE OFFICE
1205 S Dupont Ave. Ontario, CA 91761
Phone (909) 390-4233 Fax (866) 853-4355
www.ICEE.com
APPLICATION FOR EMPLOYMENT
The ICEE Company is an equal opportunity employer and does not discriminate against qualified applicants on the basis of race, color, religion, national origin, age, sex, disability, veteran status, or status of any other group protected by federal, state or local law.
PERSONAL INFORMATION
NAME                                                                                                  TODAY’S DATE   4/17/2014
                           LAST                                        FIRST                  MI
PRESENT ADDRESS                  
                                                        STREET                                       City                                       State                                       Zip
PERMANENT ADDRESS            
                                                        STREET                                       City                                       State                                       Zip
PHONE                                       ARE YOU 18 YRS, OR OLDER?          
                                                                                                                          (If hired, you may be required to submit proof of age).
EMAIL ADDRESS  
ONLY U.S. CITIZENS OR ALIEN THAT HAVE LEGAL RIGHT TO WORK IN THE U.S. ARE ELIGIBLE FOR EMPLOYMENT. CAN YOU, IF HIRED, PROVIDE DOCUMENTATION ESTABLISHING YOUR IDENTITY AND ELIGIILITY TO BE LEGALLY EMPLOYED IN THE UNITED STATES?
EMPLOYMENT
JOB APPLIED FOR   Corporate Positions   Field Operation Positions
   








 







REFERRED BY     DATE YOU CAN START   
HAVE YOU APPLIED TO THE COMPANY BEFORE?           IF YES, WHEN?    
WERE YOU EVER EMPLOYED BY THE COMPANY
OR ANY OF ITS DIVISIONS?                                            
      IF YES, WHEN?    
HAVE YOU EVER BEEN CONVICTED OF A FELONY?  
(Do not answer the above question if you reside or if you are applying for a position in the state of Massachusetts)
IF YES, GIVE DETAILS  
A "yes" answer does not automatically disqualify you from employment since the offense, date, and the job for which you are applying will also be considered.
LIST PROFESSIONAL, TRADE, BUSINESS OR CIVIC ACTIVITIES AND OFFICES HELD (EXCLUDE LABOR ORGANIZATIONS AND MEMBERSHIPS WHICH REVEAL RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, DISABILITY OR OTHER PROTECTED STATUS):

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EMPLOYMENT HISTORY
BEGIN WITH YOUR MOST RECENT EMPLOYMENT (1) AND CONTINUE WITH ALL PAST EMPLOYMENT INCLUDING MILITARY SERVICE AND ANY PERIODS OF UNEMPLOYMENT (ATTACH ADDITIONAL SHEET IF NECESSARY). ACCOUNT FOR ALL PERIODS OF TIME.
1 EMPLOYER FROM STARTING SALARY JOB TITLE DESCRIBE YOUR JOB DUTIES
NAME OF COMPANY
ADDRESS
TO ENDING SALARY   NAME & TITLE OF IMMEDIATE SUPERVISOR
CITY,STATE,ZIP
 
PHONE NO. TYPE OF BUSINESS
MAY WE CONTACT PRESENT EMPLOYER   
EXPLAIN ANY PERIOD BETWEEN JOBS
REASON FOR LEAVING (Please Explain)
2 EMPLOYER FROM STARTING SALARY JOB TITLE DESCRIBE YOUR JOB DUTIES
NAME OF COMPANY
ADDRESS
TO ENDING SALARY   NAME & TITLE OF IMMEDIATE SUPERVISOR
CITY,STATE,ZIP
 
PHONE NO. TYPE OF BUSINESS
MAY WE CONTACT PRESENT EMPLOYER   
EXPLAIN ANY PERIOD BETWEEN JOBS
REASON FOR LEAVING (Please Explain)
3 EMPLOYER FROM STARTING SALARY JOB TITLE DESCRIBE YOUR JOB DUTIES
NAME OF COMPANY
ADDRESS
TO ENDING SALARY   NAME & TITLE OF IMMEDIATE SUPERVISOR
CITY,STATE,ZIP
 
PHONE NO. TYPE OF BUSINESS
MAY WE CONTACT PRESENT EMPLOYER   
EXPLAIN ANY PERIOD BETWEEN JOBS
REASON FOR LEAVING (Please Explain)
4 EMPLOYER FROM STARTING SALARY JOB TITLE DESCRIBE YOUR JOB DUTIES
NAME OF COMPANY
ADDRESS
TO ENDING SALARY   NAME & TITLE OF IMMEDIATE SUPERVISOR
CITY,STATE,ZIP
 
PHONE NO. TYPE OF BUSINESS
MAY WE CONTACT PRESENT EMPLOYER   
EXPLAIN ANY PERIOD BETWEEN JOBS
REASON FOR LEAVING (Please Explain)
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EDUCATION
EDUCATION TYPE OF SCHOOL NAME AND ADDRESS OF SCHOOL MAJOR SUBJECT LAST YEAR IN SCHOOL GRADUATED DEGREE
HIGH SCHOOL
COLLEGE
COLLEGE
GRADUATE
BUSINESS TRADE, OTHER

ADDITIONAL EXPERIENCE OR QUALIFICATIONS
List any other experience, skills or other qualifications including hobbies, which you believe should be considered in evaluating your qualifications for employment. List all academic, extracurricular activities, offices, etc. in high school or college: (omit any which reflects your race, color, religion, age, gender, national origin, disability, veteran status or other protected status.)

PERSONAL REFERENCE
LIST FOUR INDIVIDUALS (NOT RELATIVES OR EMPLOYEES) THAT WE MAY CONTACT AS A PERSONAL REFERENCE
Name
Occupation
Full Address (Including Street, City, State & Zip)
Street
City State Zip
Telephone Number
Name
Occupation
Full Address (Including Street, City, State & Zip)
Street
City State Zip
Telephone Number
Name
Occupation
Full Address (Including Street, City, State & Zip)
Street
City State Zip
Telephone Number
Name
Occupation
Full Address (Including Street, City, State & Zip)
Street
City State Zip
Telephone Number
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PLEASE READ EACH STATEMENT CAREFULLY

  • I hereby certify that the information that I have provided in this application is true and complete to the best of my knowledge. I understand that any false statement, misrepresentation, or omission of fact made in this application for employment may disqualify me from further consideration for employment and if I am hired may result in my dismissal if discovered at a later date.                                     
  • I understand that in making this application for employment an investigative consumer report may be requested from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained through personal interviews with neighbors, friends, former employees, educational institutions, and others. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of the investigation.                                                                                                                                                                                                      
  • I authorize the investigation of ANY or ALL statements and information that is contained in this application for employment and I also authorize ANY or ALL past employers, educational institutions, consumer reporting agencies, governmental agencies, persons listed as references, and any other person or organization to provide information that verifies the information contained on the application or that may be helpful in making a hiring decision. I agree to release from all liability and hold harmless ANY and ALL parties providing such lawful information.                                                                                                                                                                                                               
  • I understand that if I am offered a position that my employment will be contingent upon my signing a mutual agreement to arbitrate claims and a confidentiality agreement on or before my first day of employment.                                                                                                                                                                                                               
  • I understand that as a condition of employment I will be required to successfully pass a drug screen that will require that I consent to provide a urine sample for analysis. I hereby consent to a drug screen on a pre-employment or post employment basis at the discretion of the company.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that I may resign at any time and the Employer may discharge me at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
 
Employee’s Signature    Date   

THIS APPLICATION FOR EMPLOYMENT WILL BE RETAINED ON FILE FOR TWO YEARS
 
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