Employment Application Application For Employment Personal Information First Name Last Name Address City, State, Zip Code Primary Phone Mobile Phone Email Date Of Application Position Desired (All positions must be able to lift 50 lbs) Cashier Cook Packer Please indicate your availability: Monday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Tuesday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Wednesday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Thursday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Friday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Saturday Shift 1 (10-3) Shift 1 (3-8) Shift 1 OR Shift 2 No Availability Education High School Name/Location Diploma/Degree Major/Area of Study College/University Name/Location Diploma/Degree Major/Area of Study Trade/Other Name/Location Diploma/Degree Major/Area of Study Previous Employment Company 1 Job Title Phone Address Dates Of Employment Add Another Employer? Yes No Please list 3 references Name Relationship Phone Name Relationship Phone Name Relationship Phone I certify that all the information I have entered is correct. I give permission for Popcorn Euphoria to check my references and background for the purposes of potential employment. Send