REFRESHMENT CENTERS OF ATLANTA LLC EMPLOYMENT APPLICATION
PLEASE PRINT ALL
INFORMATION REQUESTED
SIGN YOUR SIGNATURE
APPLICATION FOR EMPLOYMENT
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS (Do you agree to random drug testing? Yes____No___)
PLEASE COMPLETE ALL RELEVENT SECTIONS: Todays DATE ________________________________
Name ______________________________________________________________________________________________
Last First Middle Maiden
Present address ______________________________________________________________________________________
Number Street City State Zip
How long ____________________ Social Security No. _______ – _____ – _________
Telephone ( )____________________________
If under 18, please list age _____________________
Position applied for (1) ________________________and salary desired (2) ________________________(Be specific)
Days/hours available to work (Salary question does not apply to commission work)
No Pref _______ Thur ________
Mon __________ Fri __________
Tue __________ Sat _________
Wed _________ Sun ________
How many hours can you work weekly? _________________________ Can you work nights? _______________________
Employment desired: FULL-TIME ONLY __ PART-TIME ONLY __ COMMISSION ____( locator/closer select 1)
When available for work?_______________
____________________________________________________________________________________________________
EDUCATION INFORMATION
(Complete mailing address)
NUMBER OF YEARS COMPLETED______________________
MAJOR & DEGREE__________________________________
High School:_______________________________________________________________________________________
College:____________________________________________________________________________________________
Bus. or Trade School:________________________________________________________________________________
Professional School:_________________________________________________________________________________
HAVE YOU EVER BEEN CONVICTED OF A CRIME? __ No __ Yes (will not determine employment so please be honest)
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. __________________________________________________________________________________________________
____________________________________________________________________________________________________
DO YOU HAVE A DRIVER’S LICENSE? __ Yes __ No
What is your means of transportation to work? _______________________________________________________________
Driver’s license
number ____________________________ State of issue _______ __ Operator __ Commercial (CDL) __ Chauffeur
Expiration date ______________________
Have you had any accidents during the past three years? How many? ___________________
Have you had any moving violations during the past three years? How Many? ___________________
OFFICE ONLY (For Account Specialists, Payroll and Accounting Only)
Typing __ No _____ WPM 10-key __ No Processing __ No _____ WPM
Personal __ Yes __ PC
Computer __ No __ Mac
Other _____________________________________________
Skills ______________________________________________
Please list two references other than relatives or previous employers.
Name _______________________________________ Name _____________________________________________
Position ______________________________________ Position ___________________________________________
Company _____________________________________ Company __________________________________________
Address ______________________________________ Address ___________________________________________
______________________________________ ___________________________________________
Telephone ( )_________________ Telephone ( )______________________
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
MILITARY
HAVE YOU EVER BEEN IN THE ARMED FORCES? __ Yes __ No
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? __ Yes __ No
Specialty ___________________________________ Date Entered ________________ Discharge Date ______________
Work Experience
Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name. Attach additional sheets if necessary.
Name of employer:______________________________________
Name of last supervisor:________________________________________________________
Employment dates Pay or salary______________________________ ____________________________
Address:_________________________________________________________________________________
City,___________________________________ State_____________________, Zip Code_______________
Phone number_________________________ From______________________To_____________________
Start pay________________Final pay_______________
Your last job title________________________________
Reason for leaving (be specific)______________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. __________________________________________________________________________________________________________________________________________________________________________________________________________________
Name of employer:_______________________________________
Name of last supervisor:___________________________________________________________
Employment dates Pay or salary:______________________________________________________
Address:____________________________________________________________________________
City,______________________________ State, ____________________Zip Code:________________
Phone number:______________________- From______________________To __________________
Start pay______________________Final pay _______________
Your Last Job Title_____________________________
Reason for leaving (be specific)___________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. _________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Name of employer:___________________________
Name of last supervisor________________________________________________
Employment dates Pay or salary______________________________________________
Address_____________________________________________________________________
City,_________________________________ State_____________________ Zip Code_________________
Phone number________________ From___________________To__________________
Start pay__________________________Final pay___________________
Your last job title________________________________-
Reason for leaving (be specific)_________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. __________________________________________________________________________________________
_______________________________________________________________________________________________________
Name of employer___________________________
Name of last supervisor________________________________
Employment dates Pay or salary_________________________________________
Address:___________________________________________________________
City,______________________________ State,___________________ Zip Code_____________________
Phone number_____________________ From_______________To____________________
Start Pay_______________Final Pay_______________
Your last job title_________________________________
Reason for leaving (be specific)_________________________________________________________________________
_____________________________________________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.__________________________________________________________________________________________
_______________________________________________________________________________________________________
______________________________________________________________________________________________________
May we contact your present employer? __ Yes __ No
Did you complete this application yourself __ Yes __ No
If not, who did? _______________________________________________________________________________________
please print this application. (pages 10-13) email to refreshmentcentersofatlanta@yahoo.com
*****Refreshment Centers Of Atlanta LLC will be accepting applications beginning June 1, 2015. You may email your applications to the email address listed with the position you desire. We are accepting applications for commission work Site Locators and Account Closers. ******
Thank you for your interests in growing with us.