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*

Mailing Address*

E-mail*

Last Name*

City*

Cell / Other Phone

Home Phone* ex: 555-123-4567

State*

Zip / Postal Code*

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 ex: 555-123-4567

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
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
Name
City / State
Area of Study
Yrs Completed
Diploma/Degree Y N N/A
College
Name
City / State
Area of Study
Yrs Completed
Diploma/Degree Y N N/A
Graduate
Name
City / State
Area of Study
Yrs Completed
Diploma/Degree Y N N/A
Other
Name
City / State
Area of Study
Yrs Completed
Diploma/Degree 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* :