Personal Information

IN CASE OF EMERGENCY NOTIFY:

AVAILABILITY:

(Conviction will not necessarily disqualify an applicant from employment)

SCHOOL MOST RECENTLY ATTENDED:

REFERENCES:

(Please do not use family members)

MOST RECENT EMPLOYMENT:

WE ARE AN EQUAL OPPORTUNITY EMPLOYER Please complete reverse side

EMPLOYMENT TEST

(No calculators Please)

PART I

.98 10.00 For the following questions, state your answers in terms of bills and coins. .67 - 3.84 For example, $6.39 would be 6 dollar bills, 1 quarter, 1 dime, and 4 pennies 3.25 +4.67 1. If the customer order came to $12.48 and she gave you a $20.00 bill, what is her change? 35.25 - 33.08 2. If the customer order came to $8.20 and he gave you a $23.25 bill, what is his change?

PART II

I CERTIFY THAT I HAVE READ AND FULLY COMPLETED EVERY PAGE OF THIS APPLICATION AND THAT THE INFORMATION CONTAINED HEREIN IS CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY OMISSION OR FALSE INFORMATION IS GROUNDS FOR DISMISSAL. I AUTHORIZE THE REFERENCES LISTED ON THIS APPLICATION TO GIVE ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND PERTINENT INFORMATION THEY MAY HAVE, PERSONAL AND OTHERWISE. I UNDERSTAND THAT AS A PART OF THE PROCEDURE FOR MY EMPLOYMENT APPLICATION AN INVESTIGATIVE CONSUMER REPORT MAY BE MADE CONCERNING MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I ALSO ACKNOWLEDGE THAT IF I RECEIVE THE JOB I AM ON A 90 DAY PROBATION PERIOD IN WHICH CAN BE TERMINATED AT ANY TIME WITHOUT AN EXCUSE.