PERSONAL INFORMATION 

Name:          Date:

Other name(s) you are known by:      Are you older than 18 years of age?  No Yes       Liks is required to comply with federal and state laws.

Are you legally eligible for employment in the U.S.? No Yes     Have you been convicted of a crime in the last seven (7) years? No Yes A conviction will not disqualify you for employment.

Present Address (Street/City/Zip):

Permanent  Address (Street/City/Zip):

Cell Phone Number:      Home Phone Number:      Email Address:

EMPLOYMENT INFORMATION  (if you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.)

Position: Scooper Cake Decorator Clerical Delivery Driver Ice Cream Maker Sales Party Consultant       2039 E 13th Ave, Denver No Yes     5270 E Arapahoe No Yes    Salary Desired:    Date You Can Start:

Specify hours available for each day of week:

Sun Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close   Mon Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close Tues Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close Wed Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close Thurs Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close Fri Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close Sat Not Available Noon - 5PM 1:30 - Close 3:00 - Close 5:00 -  Close

EDUCATION INFORMATION

High School  Years Completed: O 1 2 3   Did You Graduate: No Yes GED

College Years Completed: O 1 2 3   Did You Graduate: No Yes    Degree:

Post College Years Completed: O 1 2 3   Did You Graduate: No Yes    Degree:

Trade School  Years Completed: O 1 2 3   Did You Graduate: No Yes    Subject:

KNOWLEDGE OF LIKS ICE CREAM

Have you ever visited a Liks Ice Cream location or one of Liks wholesale distributors?  No Yes Where?    Describe your experience:

What do you like about Liks Ice Cream? 

Why would you like to work for Liks Ice Cream? 

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

EMPLOYMENT HISTORY List your employment history, starting with the most recent one first. Please include any non-paid/volunteer experience which is related to the job for which you are applying.

Employer's Name/Address - Type of Business:

Start Date: Stop Date: Starting Salary: Ending Salary: Average # of hours per week: Position:

Duties Performed:

Supervisor's Name:    Phone Number:  May We Contact? No Yes

Employer's Name/Address - Type of Business:

Start Date: Stop Date: Starting Salary: Ending Salary: Average # of hours per week: Position:

Duties Performed:

Supervisor's Name:    Phone Number:  May We Contact? No Yes

Employer's Name/Address - Type of Business:

Start Date: Stop Date: Starting Salary: Ending Salary: Average # of hours per week: Position:

Duties Performed:

Supervisor's Name:    Phone Number:  May We Contact? No Yes

REFERENCES   Please provide three professional references, whom you have known at least one year.

Name: Address: Business: Years Acquainted:

Name: Address: Business: Years Acquainted:

Name: Address: Business: Years Acquainted:

I hereby authorize Liks Ice Cream to thoroughly investigate my background, references, employment record and other matters related to my suitability to employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Liks Ice Cream to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Liks Ice Cream. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Liks Ice Cream to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Liks Ice Cream at any time without prior notice for any reason.