Application for Employment

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1 Dear prospective Menchie s employee! There are two positions available and we expect to begin training on or about November 18, 2009! The first position is for customer service oriented people. This position includes greeting customers, cashiering, keeping the store spotless, working with the machines, toppings, mixing flavors, baking waffle cones, trash disposal, opening and closing procedures, and keeping the restroom, tables and chairs clean. A back of the house position is also available for persons who have kitchen experience in washing, cutting and food preparation. This position includes washing and cutting fruit, keeping the back clean and dishes washed, mopping, sanitizing and trash disposal. Prior to completing the application for employment, please understand that we are serious about creating a fun, yet productive work environment for our staff and maintaining the highest levels of quality, service and attention for our guests. We want you to understand that we also believe in living our values, some of which are: We believe that good isn t enough We believe in doing business in a professional and orderly manner. We believe in honesty and integrity. Be a Mench a person of high character. We believe that only a happy and professional staff can give the level of personal service we demand. Have FUN at what you do! We believe in the ongoing training and development of our staff and see it as a worthy investment in the future and success of our company. We believe in providing absolutely legendary and happy hospitality. This attitude is what sets us apart. The attention we give our customers, the superior cleanliness of the store, and the whole experience of Menchie s is what our guests tell stories about. We believe our employees are capable of being an A+ player. If this environment is for you, please complete the application and bring it in to the store. If no one is in, slide it through the door and we ll call you by the next day!

2 Application for Employment We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status. ** PLEASE PRINT CLEARLY ** Position(s) applied for: Date / / How did you find out about this job? Internet Employee Walk-in Relative Other Why are you seeking a new job at this time? Applicant Information First Name Middle Last Street Address City/State/Zip Phone ( ) If hired, do you have a reliable means of transportation to get to work? Describe Are you at least 18 years old? If you are under 18 years of age, can you furnish a work permit? Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status is required if hired.) Have you been convicted of a crime? Yes No If yes, state the nature of the offense and disposition of the case. Include dates and places. (NOTE: The existence of a criminal record does not constitute an automatic bar to employment.) List any special skills or training: Employment Information Are you seeking full time, part time or temporary employment? What hours and shift(s) are you available to work? Please circle all that apply. Hours of operation are approximately 10 am 1 am Monday Tuesday Wednesday Thursday Friday Saturday Sunday AM AM AM AM AM AM AM PM PM PM PM PM PM PM How many hours a week do you want to work consistently? Do you prefer AM or PM shifts? AM PM List times you are not available to work? Are you willing to work : Weekends? Holidays?. Are you currently employed? If hired, when would you be able to start?

3 Have you ever worked for this organization before? If yes, name used: List any friends or relatives employed by this company: Have you ever been discharged or asked to resign from any job before? If yes, please describe: If applicable, please refer to the attached job description for the position for which you are applying. Are you able to perform all these tasks with or without reasonable accommodation? Please describe which tasks, if any, you will need accommodation to perform, and explain what type of accommodation you will need: Education (circle highest level achieved) Elementary: Secondary: G.E.D College: Name of School: Name of School: Name of School: Location of School: Location of School: Location of School: If in high school, are you enrolled in a recognized co-op program? Yes No Degree & Major: If yes, identify program and school: Minor: Work History (please begin with most recent) 1. Company Phone No. with Area Code ( ) Address City/State/Zip Dates of Employment: From To Hourly rate: Beginning Ending Job Title Supervisor s Name & Title Describe duties briefly: Specific reason for leaving: 2. Company Phone No. with Area Code ( ) Address City/State/Zip Dates of Employment: From To Hourly rate: Beginning Ending Job Title Supervisor s Name & Title Describe duties briefly: Specific reason for leaving:

4 3. Company Phone No. with Area Code ( ) Address City/State/Zip Dates of Employment: From To Hourly rate: Beginning Ending Job Title Supervisor s Name & Title Describe duties briefly: Specific reason for leaving: May we contact the employers listed above? References List two personal references, not related to you, who have known you for more than three years. Name Phone Years Known Address Name Phone Years Known Address Emergency Contact In case of emergency, please notify: Name Phone Address Name Phone Address Please visit to check us out! How much time did you spend reviewing the Menchies.com website? minutes Be ready to answer questions during your interview!

5 Are you Serve Safe Certified? Yes No When does your certification expire? Authorizations & At-Will Employment Agreement (please read carefully, then sign and date below) I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application. I understand that any false information or significant omissions will disqualify me from employment and will be justification for dismissal from employment if discovered at a later date. I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that Yum Productions LLC, dba Menchie s of Pembroke Pines, and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees. I authorize Yum Productions LLC, dba Menchie s of Pembroke Pines to investigate all information contained in this application and I release from liability all persons, companies or corporations from supplying information to Yum Productions LLC, dba Menchie s of Pembroke Pines while checking on my application. I understand that this section of the application may be released to third parties as written authorization for release of information pertaining to myself. I specifically authorize and direct my current or former employers to supply employment related information to Yum Productions LLC, dba Menchie s of Pembroke Pines, and do hereby release any current or former employers from liability for disclosure of information to Yum Productions LLC, dba Menchie s of Pembroke Pines. If I am hired by Yum Productions LLC, dba Menchie s of Pembroke Pines, I release Yum Productions LLC, dba Menchie s of Pembroke Pines upon termination of my employment from all liability for supplying any information concerning my employment to any new potential employer. I authorize Yum Productions LLC, dba Menchie s of Pembroke Pines to obtain a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary though various third party sources. I hereby agree to submit to periodic drug testing whether prior to employment or if employed by Yum Productions LLC, dba Menchie s of Pembroke Pines at any time thereafter. I agree not to use any nonprescription drugs during the course of my employment, including marijuana. If I am in school, I agree to provide within 1 week of issuance, any report card, quarterly or semester grades as a condition of my employment. In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required. Initials:

6 I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be atwill, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company s owner is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand, and agree to the above. Printed Name: Date: Signature:

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