Ben&Jerry's Job Application

Cup & Cone Enterprises, Inc. dba

Employment Application
Cup & Cone Enterprises, Inc. is an equal opportunity employer, dedicated to the policy of non-discrimination in employment on any basis including gender, race, ethnicity, veteran
status, religious affiliation, sexual orientation, age, disability or national origin.
Personal Data (Please print clearly.)
Name:














Last




First



Middle
Address:




City, State, Zip:





Telephone:




Social Security Number:




Cell Phone:




Email Address:





Position Desired:



Date You Can Start:




Specify Hours Available to Work each day of the week:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday







Are you able to work overtime? _____________
Are you currently authorized to work for all employers in the United States on a full-time basis? Yes No
If under 18, do you have working papers?
Yes No
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? Yes No
If "Yes," please explain on a separate sheet. (Answering "yes" to this question does not constitute an automatic bar to employment.)
Education (Please list the most recent first, including high school, vocational school and college/university.)
School
Address
Circle Years
Did You Graduate?
Subjects Studied and
Completed
If so, when?
Degree received


1 2 3 4
Y N



1 2 3 4
Y N



1 2 3 4
Y N



1 2 3 4
Y N


Have you ever visited a Ben & Jerry's Scoop Shop? Where? Describe your experience.
































What do you like about Ben & Jerry's ice cream?




































Why would you like to work at Ben & Jerry's?





































What are the most important features you look for in a job?



































Describe a specific situation where you have provided excellent customer service in your most recent position. Why was
this effective?








































Describe apprenticeships, specialized trainings or skills that relate to the position for which you are applying; any
certifications or licenses you hold; any awards or honors you have received; or any professional or trade associations to
which you belong:









































Operation of a Motor Vehicle
Do you currently hold a valid driver's license?

Yes
No
List any violations of motor vehicle laws for which you received citations, fines and/or court appearances with the
exception of parking violations on a separate sheet.

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Employment History List most recent employers first, covering the last five years.(Use another sheet of paper for additional employers)
Employer
Dates Employed
Type of work, job responsibilities avg. # hrs./week
From
To
Address & Telephone


Starting Job Title/Final Job Title
Salary/Hourly Rate

Starting
Final
Immediate Supervisor & Title:


Reason for Leaving?
May we contact your current employer? Yes No
Employer
Dates Employed
Type of work, job responsibilities avg. # hrs./week
From
To
Address & Telephone


Starting Job Title/Final Job Title
Salary/Hourly Rate

Starting
Final
Immediate Supervisor & Title:


Reason for Leaving?
May we contact your current employer? Yes No
Employer
Dates Employed
Type of work, job responsibilities avg. # hrs./week
From
To
Address & Telephone


Starting Job Title/Final Job Title
Salary/Hourly Rate

Starting
Final
Immediate Supervisor & Title:


Reason for Leaving?
May we contact your current employer? Yes No
References Give three professional references that are not related to you. If not applicable, list three school or personal references
that are not related to you.
Name
Phone Number
Business
How Acquainted, # Years












Job Description I hereby certify that I have reviewed the job description for the position for which I am applying. Yes No
Are you able to perform the essential functions of the job for which you are applying and meet its described requirements, with or without
reasonable accommodations? Yes No
Applicant's Statement I certify that all information I have provided to apply for and secure work with Cup & Cone Enterprises, Inc. and its affiliates ("C&C")
is true, complete and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to cancel any further
consideration of this application or immediately discharge me from the employer's service, whenever it is discovered.
I expressly authorize, without reservation, C&C, it's representatives, employees or agents to contact and obtain information from all references (personal and professional),
employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or
job interview. I waive any and all rights and claims I may have regarding C&C, its agents, employees or representatives, for seeking, gathering and using such information in
the employment process and all other persons, corporations or organizations for furnishing such information about me. I hereby authorize any individual, as well as the
organization for which he or she acts, to provide information about me to C&C. I hereby waive any rights and claims that I may have as a result of such disclosures by these
individuals and organizations to C&C.
I understand that C&C does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from
consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from C&C and still wish to be considered for
employment, it may be necessary to reapply and fill out a new application.
In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of C&C. I understand that my employment will be on an at-will
basis, which means that my employment can be terminated with or without cause or notice. This application does not constitute an agreement or contract for employment for
any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no
implied oral or written agreements contrary to the foregoing language are valid unless they are in writing and signed by the President of C&C.
Federal laws require that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, C&C will verify the
status of every individual offered employment. In this connection, all offers of employment are subject to verification of the applicants identify and employment authorization, and it
will be necessary for the applicant to submit such documents as are required by law to verify identification and employment authorization.
I voluntarily agree that: Any offer of employment I may receive from C&C is contingent upon my successful completion of C&C's total pre-employment screening process,
including C&C's receipt of references that it considers satisfactory, and my satisfactory completion of any post-job offer, pre-employment physical examination that C&C may
require. As a condition of employment, I may be required to undergo and pass successfully a screening for drugs. I also understand and agree that, if employed, I may be
required to submit to a drug screening at any time, at the discretion of C&C in accordance with applicable law.
I affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with C&C.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant's Statement.

Signature of Applicant






Date


Revised 11/2006

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