ONLINE EMPLOYMENT APPLICATION

Thank you for your interest in joining the Fresh & Healthy Brands team. Please complete the application below. Fields marked with a red asterisk (*) are required.

PERSONAL INFORMATION

First Name Last Name Home Phone
* * * ex: 555-123-4567
Mailing Address City State     Zip / Postal Code
* * *  *
E-mail Cell / Other Phone
*
Are you over the age of 18?
 Yes No (if no, you will be required to furnish a work permit if hired)
Are you legally able to be employed in this country?
 Yes No (if hired, verification required by law)
Have you ever been convicted of a felony, violent crime, or a retail related crime (including, but not limited to, shoplifting or other theft), breach of trust or dealing in illegal drugs?
 Yes No       If Yes, please describe:

Please select the location to which you are applying: *

EMPLOYMENT HISTORY

Present or previous employer Job Title / Responsibilities Supervisor's Name
Address City State    Zip / Postal Code
 
Phone Number Starting Salary or Hourly Rate $ Ending Salary or Hourly Rate $
ex: 555-123-4567

Employed from (month/year)     to  

Name of previous employer Job Title / Responsibilities Supervisor's Name
Address City State    Zip / Postal Code
 
Phone Number Starting Salary or Hourly Rate $ Ending Salary or Hourly Rate $

Employed from (month/year)     to  

Name of previous employer Job Title / Responsibilities Supervisor's Name
Address City State    Zip / Postal Code
 
Phone Number Starting Salary or Hourly Rate $ Ending Salary or Hourly Rate $
Employed from (month/year)     to  


EDUCATION
School Name City / State Area of Study                  Yrs Completed Diploma/Degree
High School  Y N N/A
College  Y N N/A
Graduate  Y N N/A
Other  Y N N/A


APPLICANT'S ACKNOWLEDGEMENT

I certify that the information given on this application is true and complete to the best of my knowledge. I understand that false or misleading information given, or information omitted by me on this application or in interviews will be sufficient cause to disquality me from further consideration for employment.
 
I authorize all past employers, educational institutions and personal references (unless otherwise indicated) to release any and all information concerning my past employment, work history, performance and personal character. I hereby release all such employers, personal references, Fresh & Healthy Brands, and the franchise partner whose store to which I am applying from any and all liability resulting from damages I may incur in the reference verification process.
 
I understand that if employed at this Pure Health Bar, Juice Zone, Yo-Good or Go-Grill, my employment is "at will" which means that if I am hired, I am free to resign at any time, with or without cause and with or without prior notice; and if I am hired, Pure Health Bar, Juice Zone, Yo-Good or Go-Grill may terminate my employment at any time with or without cause and with or without notice.
 
If called for an interview, I am able to provide my Social Security Number for any additional forms.
*I have read and fully understand this Acknowledgement.(Required)  


SECURITY VERIFICATION

Verify* : 3+1=? 

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