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Preliminary Application for Employment

Application Update: 12/31/2023
 
 
 1a. Personal Information  (this entire section is required)  
Please confirm your email address:  Read This
The email address you enter here must be the same email address you entered on the application entrance screen.
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:  (5-digit only)  
Phone Contact: (w/ Area Code)   (Auto-formatting. Enter numbers only)
Are You 16 Years Or Older? Yes   No
Have You Been Convicted of a
Felony Within The Last 10 Years?
If YES, please explain:
 (and thank you for being honest!)
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 1b. Upload Your Headshot  (uploading your headshot is optional, but a selection here is required)  
Would you like to upload a headshot photo of yourself which will be included on your finalized application?

You must check only one option:
NO, I am NOT uploading my photo Bottom Menu
YES, I am uploading my photo
   
Uploading Your Photo:

  1. A "passport-like" photo is best. If taking your photo with an iPhone, make sure you are using the SQUARE setting in the Camera App (for Android phone "Square" setting, click here ). The photo should be a close-up, showing from your neck up. After taking the photo, select the photo file from your device by clicking the CHOOSE FILE / BROWSE button above.

  2. If you're on a laptop or desktop computer right now and your photo is already on your hard drive, simply click the CHOOSE FILE / BROWSE button above and navigate to your photo.

  3. The photo must have been saved in either .jpg, .jpeg or .gif formats and your photo can be no larger than 3 megabytes in size.
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 2. Desired Employment  (this entire section is required)  
Which of our locations would you like to work in?
Desired Position:
Counter Worker | Shift Lead | Assistant Manager
Date You Can Start:   (click calendar icon to select date)
Are You Employed Now?
How did you hear about Smoothie Whirl'd?
What do you feel makes you a great candidate for employment at Smoothie Whirl'd?

 (OK, here's your chance! Tell us as much as you can, be specific and be honest!)
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 3. Education  (the "High School / GED" purple section below is required)  
HIGH SCHOOL / GED:
Name of School:
Location: (City/State)
No. of Years Attended: (or # of years so far)
Did You Graduate?
Degree Earned:
 
COLLEGE:
Name of School:
Location: (City/State)
No. of Years Attended:
Did You Graduate?
Degree Earned:
 
OTHER COLLEGE, TRADE, BUSINESS OR CORRESPONDENCE SCHOOL
Name of School:
Location: (City/State)
No. of Years Attended:
Did You Graduate?
Certificate/degree Received:
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 4. Special Skills  (this entire section is optional but helpful)   
Let us know how you personally shine! Tell us about any subjects of special study you may be taking or have taken, any special training you've received (ex: CPR), languages you speak fluently, or any other special skills (related or unrelated to smoothies!) that will help you stand out among the rest!
Subjects of Special Study or Research Work:
Special Training:
Special Skills:
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 5. Employment Status  (a response is required here)  
If hired, will this be your first job?
  YES, this will be my first job! Bottom Menu
  NO, this is not my first job. Bottom Menu
 
 
 
 
 
 5a. Employment History  (complete all applicable Employment sections below, otherwise skip this section)  
Present or Last Employer
Employer Name:
Address:
City:
State:
Zip: (5-digit only)  
Starting Date:   (click calendar icon to select date)
Leaving Date:

OR > Still employed
  (click calendar icon to select date)
Reason For Leaving: (if NOT still employed)
Your Job Title: (25 characters max)
Supervisor Name:
May We Contact Your Supervisor?
Supervisor Telephone: (w/ Area Code)  (Auto-formatting. Enter numbers only)
Your Job Description: (Brief)
 
Previous Employer #1
Employer Name:
Address:
City:
State:
Zip: (5-digit only)  
Starting Date:   (click calendar icon to select date)
Leaving Date:   (click calendar icon to select date)
Reason For Leaving:
Your Job Title: (25 characters max)
Supervisor Name:
May We Contact Your Supervisor?
Supervisor Telephone: (w/ Area Code)  (Auto-formatting. Enter numbers only)
Your job Description: (Brief)
 
Previous Employer #2
Employer Name:
Address:
City:
State:
Zip: (5-digit only)  
Starting Date:   (click calendar icon to select date)
Leaving Date:   (click calendar icon to select date)
Reason For Leaving:
Your Job Title: (25 characters max)
Supervisor Name:
May We Contact Your Supervisor?
Supervisor Telephone: (w/ Area Code)  (Auto-formatting. Enter numbers only)
Your job Description: (Brief)
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 6. Availability  (this entire section is required)  
Please tell us the hours you are available for each day of the week below. If you're not available at all on a particular day, check the "Not Available" box only. Applicants must be available to work some Saturdays.
Current Store Hours From:                To:
Monday -   OR  >  Not Available
Tuesday -   OR  >  Not Available
Wednesday -   OR  >  Not Available
Thursday -   OR  >  Not Available
Friday -   OR  >  Not Available
Saturday -   OR  >  Not Available
Sunday Closed
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 7. Emergency Contact  (this section is required)  
Below, please give the name of the person you'd like to designate as your emergency contact:
Name:  (Enter first and last name)
Telephone:  (w/ area code)  (Auto-formatting. Enter numbers only)
Relation to Employee:
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 8. References  (If you don't have any references, it's required that you check the "no reference" boxes)  
Below, give the names of 2 persons you are not related to that you know and that know you. Please give as much information about each reference so that it will make it easier for us to contact them. If you don't have a reference, please leave all areas blank and check the "No Reference" check box in that section to so indicate:
REFERENCE #1

Check this box if you have no reference #1:

Name: (First and last)
Telephone:  (w/ area code)  (Auto-formatting. Enter numbers only)
Occupation:
Years Acquainted:
 
REFERENCE #2

Check this box if you have no reference #2:

Name: (First and last)
Telephone: (w/ area code)  (Auto-formatting. Enter numbers only)
Occupation:
Years Acquainted:
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 9. Authorization & Submission  (please read and acknowledge by checking the YES box below)  
I certify that the facts contained in this online employment application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein, including a background check, and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release Smoothie Whirl'd from all liability for any damage that may result from utilization of such information.

Smoothie Whirl'd is a drug-free workplace and I also agree to submit to a pre-employment drug-screening.

I also understand and agree that no representative of Smoothie Whirl'd has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized Smoothie Whirl'd representative.
By checking YES, you are electronically signing this application:
I understand and agree to the above:   Yes
Are you sure you completed all required sections?
If you'd like to edit any information you entered or think you might have missed something, please go back to that section now by clicking the corresponding section link below. Click the 'Finish' button in that section to return here:

Personal Information | Headshot Upload | Desired Employment | Education
Special Skills | Employment Status | Employment History | Availability | Emergency Contact | References

Otherwise, click the Submit Application button below to submit this preliminary application:
 
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By clicking the "Submit Application" button above, Smoothie Whirl'd will receive this preliminary application which will be used to consider you for this position. In addition, if you are including a headshot photo of yourself, you understand that this photo becomes the property of Smoothie Whirl'd, LLC and that it will only be viewable on this application and accessible only to Smoothie Whirl'd management.